Sullivan, Kent
Sullivan, Kent is an individual health care provider with primary practice located at 1530 N 115Th St Ste 107, Seattle WA 98133-8411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Sullivan, Kent can be contacted via phone (206) 368-6560.Contact Information
Primary practice address
1530 N 115Th St Ste 107
Seattle WA 98133-8411
Phone: (206) 368-6560
Fax: (206) 368-6562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD0001591 | Washington |
Profile Details
| NPI number | 1669478798 |
|---|---|
| LBN Legal business name | Sullivan, Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Aug 12th, 2008 - about 17 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 | 1669478798 | NPPES |
| Washington | MEDICAID | 1100791 | |
| Washington | Other | P00170689 |
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