Sullivan, Leland

Sullivan, Leland is an individual health care provider with primary practice located at 2375 E Prater Way , Sparks NV 89434-9641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Sullivan, Leland can be contacted via phone (775) 331-7000.

Contact Information

Primary practice address
2375 E Prater Way Sparks NV 89434-9641
Phone: (775) 331-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 11471 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11471 Nevada

Profile Details

NPI number 1841259686
LBN Legal business name Sullivan, Leland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Apr 21st, 2010 - about 14 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 1841259686 NPPES
Nevada MEDICAID 100506845

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