Sullivan, Keisha Danielle
Sullivan, Keisha Danielle is an individual health care provider with primary practice located at 19441 Golf Vista Plaza, Suites 230 & 310 , Leesburg VA 20176-8272. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as her primary health care specialty. Sullivan, Keisha Danielle can be contacted via phone (703) 729-3420.Contact Information
Primary practice address
19441 Golf Vista Plaza, Suites 230 & 310
Leesburg VA 20176-8272
Phone: (703) 729-3420
Fax: (703) 729-3420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | 58.007478 | Ohio |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | H0087581 | Maryland |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | 0102205648 | Virginia |
Profile Details
| NPI number | 1437545720 |
|---|---|
| LBN Legal business name | Sullivan, Keisha Danielle |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2015 |
| Last updated | Feb 17th, 2023 - about last year |
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 | 1437545720 | NPPES |
| Virginia | MEDICAID | 1437545720 |
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