Sullivan, Len
Sullivan, Len is an individual health care provider with primary practice located at 305 Mallard Ln , Taylor TX 76574-1208. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Sullivan, Len can be contacted via phone (512) 352-7611.Contact Information
Primary practice address
305 Mallard Ln
Taylor TX 76574-1208
Phone: (512) 352-7611
Fax: (512) 352-2196
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 00703 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 902 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA11712 | Texas |
Profile Details
NPI number | 1326198110 |
---|---|
LBN Legal business name | Sullivan, Len |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 12th, 2007 |
Last updated | Nov 1st, 2023 - about 2 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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