Sullivan, Maryanne Winifred Lourdes

Sullivan, Maryanne Winifred Lourdes is an individual health care provider with primary practice located at 744 Montgomery St , San Francisco CA 94111-2123. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Sullivan, Maryanne Winifred Lourdes can be contacted via phone (415) 989-5000.

Contact Information

Primary practice address
744 Montgomery St San Francisco CA 94111-2123
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-39571 California

Profile Details

NPI number 1851807457
LBN Legal business name Sullivan, Maryanne Winifred Lourdes
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2017
Last updated Dec 18th, 2017 - about 7 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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