Sullivan, John K
Sullivan, John K is an sole proprietor health care provider with primary practice located at 498 Harlow Rd Suite 1, Springfield OR 97477. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sullivan, John K can be contacted via phone (541) 225-4866.Contact Information
Primary practice address
498 Harlow Rd Suite 1
Springfield OR 97477
Phone: (541) 225-4866
Fax: (888) 502-2518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D10371 | Oregon |
Profile Details
| NPI number | 1063564979 |
|---|---|
| LBN Legal business name | Sullivan, John K |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Mar 24th, 2016 - about 9 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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