Sullivan, Katie Jo
Sullivan, Katie Jo is an individual health care provider with primary practice located at 8579 Commerce Dr Ste 104 , Easton MD 21601-7420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sullivan, Katie Jo can be contacted via phone (410) 822-9133.Contact Information
Primary practice address
8579 Commerce Dr Ste 104
Easton MD 21601-7420
Phone: (410) 822-9133
Fax: (410) 822-9513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R166423 | Maryland |
Profile Details
| NPI number | 1649524059 |
|---|---|
| LBN Legal business name | Sullivan, Katie Jo |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2012 |
| Last updated | Oct 15th, 2020 - about 4 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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