Sullivan, Jennifer

Sullivan, Jennifer is an sole proprietor health care provider with primary practice located at 51 Churchill Ln , Smithtown NY 11787-4039. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Sullivan, Jennifer can be contacted via phone (163) 148-6819.

Contact Information

Primary practice address
51 Churchill Ln Smithtown NY 11787-4039
Phone: (163) 148-6819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 037715011 New York

Profile Details

NPI number 1164778635
LBN Legal business name Sullivan, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2012
Last updated Aug 2nd, 2012 - about 13 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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