Sullivan, James H
Sullivan, James H is an individual health care provider with primary practice located at 901 Grant Street , Harvard IL 60033-1821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sullivan, James H can be contacted via phone (815) 943-2693.Contact Information
Primary practice address
901 Grant Street
Harvard IL 60033-1821
Phone: (815) 943-2693
Fax: (815) 943-0659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-097083 | Illinois |
Profile Details
| NPI number | 1891805081 |
|---|---|
| LBN Legal business name | Sullivan, James H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Apr 14th, 2015 - about 9 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 | 1891805081 | NPPES |
| Wisconsin | Other | SULLIJAM | MERCYCARE INSURANCE |
| Wisconsin | MEDICAID | 1891805081 | MERCYCARE INSURANCE |
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