Sullivan, Leisha

Sullivan, Leisha is an individual health care provider with primary practice located at 7075 Industrial Rd , Florence KY 41042-3053. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Sullivan, Leisha can be contacted via phone (859) 331-3292.

Contact Information

Primary practice address
7075 Industrial Rd Florence KY 41042-3053
Fax: (859) 578-2864
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1427478791
LBN Legal business name Sullivan, Leisha
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2014
Last updated Apr 24th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427478791 NPPES
Kentucky Other 610661458 TAX ID

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