Sullivan, Kristina

Sullivan, Kristina is an sole proprietor health care provider with primary practice located at 88 Half Mile Rd , Southport CT 06890-3032. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Kristina can be contacted via phone (704) 779-3503.

Contact Information

Primary practice address
88 Half Mile Rd Southport CT 06890-3032
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1609541960
LBN Legal business name Sullivan, Kristina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2021
Last updated Sep 20th, 2021 - about 5 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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