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
Phone: (859) 331-3292
Fax: (859) 578-2864
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427478791 | NPPES |
Kentucky | Other | 610661458 | TAX ID |
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