Sullivan, James Patrick

Sullivan, James Patrick is an sole proprietor health care provider with primary practice located at 2130 Highway 35 Bldg C Ste 312, Sea Girt NJ 08750-1010. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Sullivan, James Patrick can be contacted via phone (732) 974-8200.

Contact Information

Primary practice address
2130 Highway 35 Bldg C Ste 312 Sea Girt NJ 08750-1010
Phone: (732) 974-8200
Fax: (732) 974-0190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD2271 New Jersey

Profile Details

NPI number 1508834151
LBN Legal business name Sullivan, James Patrick
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Mar 7th, 2023 - about last year

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 1508834151 NPPES
New Jersey Other MD2271 LICENSE
New Jersey Other D06605800 LICENSE
New Jersey MEDICAID 6920101 LICENSE

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