Sullivan, Joseph C
Sullivan, Joseph C is an individual health care provider with primary practice located at 11375 Cortez Blvd , Brooksville FL 34613-5409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sullivan, Joseph C can be contacted via phone (904) 236-5884.Contact Information
Primary practice address
11375 Cortez Blvd
Brooksville FL 34613-5409
Phone: (904) 236-5884
Fax: (904) 346-4334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 052837 | Georgia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 54994 | Tennessee |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 24871 | Alabama |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME160669 | Florida |
Profile Details
| NPI number | 1043303548 |
|---|---|
| LBN Legal business name | Sullivan, Joseph C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Mar 29th, 2023 - about 2 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 | 1043303548 | NPPES |
| Mississippi | MEDICAID | 04923068 | |
| Mississippi | Other | 051543136 | |
| Mississippi | Other | 051543144 | |
| Mississippi | MEDICAID | 009942662 | |
| Mississippi | MEDICAID | 009942659 | |
| Mississippi | MEDICAID | 199147922A | |
| Mississippi | MEDICAID | 009942658 | |
| Mississippi | MEDICAID | 009942660 | |
| Mississippi | Other | 051543137 | |
| Mississippi | Other | 051543142 | |
| Mississippi | Other | P00406959 |
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