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
Phone: (919) 736-1110
Fax: (315) 624-6469
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164713756 | NPPES |
| New York | MEDICAID | 03914734 |
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