Sullivan, Katherine P

Sullivan, Katherine P is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Sullivan, Katherine P can be contacted via phone (508) 334-6206.

Contact Information

Primary practice address
119 Belmont St Worcester MA 01605-2903
Phone: (508) 334-6206
Fax: (508) 334-6083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 269888 Massachusetts
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 269888 Massachusetts

Profile Details

NPI number 1992966220
LBN Legal business name Sullivan, Katherine P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Oct 27th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992966220 NPPES
Massachusetts Other S400384003 MEDICARE
Massachusetts MEDICAID 110122125A MEDICARE

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