Sullivan, John B
Sullivan, John B is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Toxicology, which is considered as his primary health care specialty. Sullivan, John B can be contacted via phone (520) 694-8888.Contact Information
Primary practice address
1501 N Campbell Ave
Tucson AZ 85724-0001
Phone: (520) 694-8888
Fax: (520) 694-2565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | 14960 | Arizona |
Profile Details
| NPI number | 1265504252 |
|---|---|
| LBN Legal business name | Sullivan, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Dec 28th, 2007 - about 17 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 | 1265504252 | NPPES |
| Arizona | MEDICAID | 282385 |
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