Sullivan, Nancy Jane

Sullivan, Nancy Jane is an individual health care provider with primary practice located at 1800 Cooper Point Rd Sw Building 24B, Olympia WA 98502-1178. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Nancy Jane can be contacted via phone (360) 786-1195.

Contact Information

Primary practice address
1800 Cooper Point Rd Sw Building 24B Olympia WA 98502-1178
Phone: (360) 786-1195
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00004150 Washington

Profile Details

NPI number 1316930282
LBN Legal business name Sullivan, Nancy Jane
Credentials LCSW, MSW, MED
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 8th, 2007 - about 17 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 1316930282 NPPES
Washington Other 1263101000 UNIFORM MEDICAL PLAN
Washington Other 0007652345 UNIFORM MEDICAL PLAN

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