Sullivan, Kathleen
Sullivan, Kathleen is an individual health care provider with primary practice located at 194 Cohasset Rd , Chico CA 95926-2202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sullivan, Kathleen can be contacted via phone (530) 893-2303.Contact Information
Primary practice address
194 Cohasset Rd
Chico CA 95926-2202
Phone: (530) 893-2303
Fax: (530) 893-3607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A62975 | California |
Profile Details
| NPI number | 1245236199 |
|---|---|
| LBN Legal business name | Sullivan, Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Apr 17th, 2009 - about 15 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 | 1245236199 | NPPES |
| California | MEDICAID | 00A629750 |
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