Sullivan, James

Sullivan, James is an individual health care provider with primary practice located at 2700 Wayne Memorial Dr Medical Education, Goldsboro NC 27534-9494. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sullivan, James can be contacted via phone (919) 736-1110.

Contact Information

Primary practice address
2700 Wayne Memorial Dr Medical Education Goldsboro NC 27534-9494
Fax: (315) 624-6469
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 276980 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2016-00449 North Carolina

Profile Details

NPI number 1164713756
LBN Legal business name Sullivan, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2011
Last updated Mar 13th, 2017 - about 7 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 1164713756 NPPES
New York MEDICAID 03914734

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