Sullivan, Nicholas C

Sullivan, Nicholas C is an individual health care provider with primary practice located at 501 E Hampden Ave , Englewood CO 80113-2702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Sullivan, Nicholas C can be contacted via phone (303) 761-9190.

Contact Information

Primary practice address
501 E Hampden Ave Englewood CO 80113-2702
Phone: (303) 761-9190
Fax: (720) 874-4462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN.0991074-NP Colorado

Profile Details

NPI number 1154745784
LBN Legal business name Sullivan, Nicholas C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2014
Last updated Jun 4th, 2020 - about 5 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 1154745784 NPPES
Colorado MEDICAID 51558769
Colorado MEDICAID 1154745784
Colorado MEDICAID 1154745784

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