Sullivan, Gregory B
Sullivan, Gregory B is an individual health care provider with primary practice located at 3550 Concord Rd , York PA 17402-8626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sullivan, Gregory B can be contacted via phone (717) 851-6340.Contact Information
Primary practice address
3550 Concord Rd
York PA 17402-8626
Phone: (717) 851-6340
Fax: (717) 851-6349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD037811E | Pennsylvania |
Profile Details
| NPI number | 1154304897 |
|---|---|
| LBN Legal business name | Sullivan, Gregory B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Oct 19th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154304897 | NPPES |
| Pennsylvania | MEDICAID | 0011550090006 |
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