Sullivan, Kathleen E
Sullivan, Kathleen E is an sole proprietor health care provider with primary practice located at 96 Dormitory Row West , University MS 38677. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Sullivan, Kathleen E can be contacted via phone (615) 948-3271.Contact Information
Primary practice address
96 Dormitory Row West
University MS 38677
Phone: (615) 948-3271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Mississippi |
Profile Details
| NPI number | 1255060174 |
|---|---|
| LBN Legal business name | Sullivan, Kathleen E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2022 |
| Last updated | Feb 27th, 2024 - about 7 months 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 | 1255060174 | NPPES |
| Mississippi | Other | 10704472 | ATHLETIC TRAINING STUDENT |
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