Sullivan, Jenny Marie N

Sullivan, Jenny Marie N is an individual health care provider with primary practice located at 500 Doyle Park Dr Suite G04, Santa Rosa CA 95405-4558. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sullivan, Jenny Marie N can be contacted via phone (707) 303-8360.

Contact Information

Primary practice address
500 Doyle Park Dr Suite G04 Santa Rosa CA 95405-4558
Phone: (707) 303-8360
Fax: (707) 303-8361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A84375 California

Profile Details

NPI number 1407844285
LBN Legal business name Sullivan, Jenny Marie N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 16th, 2013 - about 11 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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