Sullivan, Heather Denise

Sullivan, Heather Denise is an individual health care provider with primary practice located at 1327 Kalakaket St , Fairbanks AK 99709-4917. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Sullivan, Heather Denise can be contacted via phone (907) 452-4517.

Contact Information

Primary practice address
1327 Kalakaket St Fairbanks AK 99709-4917
Fax: (907) 452-4263
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 343 Alaska

Profile Details

NPI number 1598044810
LBN Legal business name Sullivan, Heather Denise
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2011
Last updated Oct 8th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598044810 NPPES
Alaska MEDICAID 1574759

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