Sullivan, Mary Ann

Sullivan, Mary Ann is an individual health care provider with primary practice located at Nmrtc Camp Pendleton 4Th Floor Rm 4172, Camp Pendleton CA 92055. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Sullivan, Mary Ann can be contacted via phone (575) 749-3629.

Contact Information

Primary practice address
Nmrtc Camp Pendleton 4Th Floor Rm 4172 Camp Pendleton CA 92055
Phone: (575) 749-3629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101256883 Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 101256883 Virginia

Profile Details

NPI number 1043659949
LBN Legal business name Sullivan, Mary Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated Jun 26th, 2023 - about last year

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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