Sullivan, James D

Sullivan, James D is an individual health care provider with primary practice located at 200 High Service Ave , North Providence RI 02904-5113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Sullivan, James D can be contacted via phone (401) 456-3402.

Contact Information

Primary practice address
200 High Service Ave North Providence RI 02904-5113
Phone: (401) 456-3402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 72262 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD09038 Rhode Island

Profile Details

NPI number 1730179607
LBN Legal business name Sullivan, James D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Apr 1st, 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 1730179607 NPPES
Massachusetts Other 45468 HPHC
Massachusetts Other J10322 HPHC
Massachusetts MEDICAID 3074447 HPHC
Massachusetts Other 404886 HPHC

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