Sullivan, Leann
Sullivan, Leann is an sole proprietor health care provider with primary practice located at 16077 N Glacier Peak Dr , Nampa ID 83651-8723. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Sullivan, Leann can be contacted via phone (208) 466-0868.Contact Information
Primary practice address
16077 N Glacier Peak Dr
Nampa ID 83651-8723
Phone: (208) 466-0868
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 8078924 | Idaho |
Profile Details
| NPI number | 1598936908 |
|---|---|
| LBN Legal business name | Sullivan, Leann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2008 |
| Last updated | Mar 13th, 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 | 1598936908 | NPPES |
| Idaho | MEDICAID | 807892400 |
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