Sullivan, Lacey
Sullivan, Lacey is an individual health care provider with primary practice located at 1015 Brocks Gap Pkwy , Hoover AL 35244-4032. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Sullivan, Lacey can be contacted via phone (205) 982-0112.Contact Information
Primary practice address
1015 Brocks Gap Pkwy
Hoover AL 35244-4032
Phone: (205) 982-0112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6510 | Alabama |
Profile Details
| NPI number | 1114412103 |
|---|---|
| LBN Legal business name | Sullivan, Lacey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2018 |
| Last updated | Apr 8th, 2024 - about 7 months 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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