Sullivan, Katie

Sullivan, Katie is an individual health care provider with primary practice located at 9000 W Wisconsin Avenue Division Of Pediatric Nephrology, Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Sullivan, Katie can be contacted via phone (414) 337-7140.

Contact Information

Primary practice address
9000 W Wisconsin Avenue Division Of Pediatric Nephrology Milwaukee WI 53226-4874
Phone: (414) 337-7140
Fax: (414) 337-7145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 82149 Wisconsin

Profile Details

NPI number 1730715830
LBN Legal business name Sullivan, Katie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2020
Last updated Sep 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730715830 NPPES
Wisconsin MEDICAID 1730715830

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