Sullivan, John S
Sullivan, John S is an individual health care provider with primary practice located at 100 Mlk Jr Blvd 2Nd Floor, Worcester MA 01608-1209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Sullivan, John S can be contacted via phone (508) 757-1589.Contact Information
Primary practice address
100 Mlk Jr Blvd 2Nd Floor
Worcester MA 01608-1209
Phone: (508) 757-1589
Fax: (508) 756-5633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 57446 | Massachusetts |
Profile Details
| NPI number | 1568466324 |
|---|---|
| LBN Legal business name | Sullivan, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Sep 3rd, 2008 - about 16 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 | 1568466324 | NPPES |
| Massachusetts | Other | 0200248 | UNITED HEALTH CARE |
| Massachusetts | Other | 057446 | UNITED HEALTH CARE |
| Massachusetts | Other | J30252 | UNITED HEALTH CARE |
| Massachusetts | Other | 985163 | UNITED HEALTH CARE |
| Massachusetts | MEDICAID | 6189768 | UNITED HEALTH CARE |
| Massachusetts | Other | 042923137 | UNITED HEALTH CARE |
| Massachusetts | Other | 645387 | UNITED HEALTH CARE |
| Massachusetts | Other | 2376607 | UNITED HEALTH CARE |
| Massachusetts | Other | 26920 | UNITED HEALTH CARE |
| Massachusetts | Other | 63777 | UNITED HEALTH CARE |
| Massachusetts | Other | 0029830 | UNITED HEALTH CARE |
| Massachusetts | Other | 326051 | UNITED HEALTH CARE |
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