Sullivan, Nina Noella

Sullivan, Nina Noella is an sole proprietor health care provider with primary practice located at 2746 Shadow View Dr , Eugene OR 97408-4610. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Sullivan, Nina Noella can be contacted via phone (541) 345-0551.

Contact Information

Primary practice address
2746 Shadow View Dr Eugene OR 97408-4610
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 3320 Oregon

Profile Details

NPI number 1073820437
LBN Legal business name Sullivan, Nina Noella
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2010
Last updated Sep 7th, 2010 - about 14 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 1073820437 NPPES
Colorado Other 784803 ASSOCIATED BODYWORK AND MASSAGE PROFESSIONALS

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