Sullivan, Jason Patrick

Sullivan, Jason Patrick is an individual health care provider with primary practice located at 6001 Westown Pkwy , West Des Moines IA 50266-7719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sullivan, Jason Patrick can be contacted via phone (515) 224-1414.

Contact Information

Primary practice address
6001 Westown Pkwy West Des Moines IA 50266-7719
Phone: (515) 224-1414
Fax: (515) 224-5140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD-40971 Iowa

Profile Details

NPI number 1669638219
LBN Legal business name Sullivan, Jason Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Dec 29th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669638219 NPPES
Iowa MEDICAID 1669638219

Popular Providers