Sullivan, Pamela C
Sullivan, Pamela C is an individual health care provider with primary practice located at 7755 Center Ave Ste 630 , Huntington Beach CA 92647. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Sullivan, Pamela C can be contacted via phone (657) 237-2450.Contact Information
Primary practice address
7755 Center Ave Ste 630
Huntington Beach CA 92647
Phone: (657) 237-2450
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 188059 | New York |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 188059 | New York |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 59371 | Arizona |
Profile Details
NPI number | 1326191107 |
---|---|
LBN Legal business name | Sullivan, Pamela C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2007 |
Last updated | Nov 29th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326191107 | NPPES |
New York | Other | 930079485 | RAILROAD MEDICARE |
New York | MEDICAID | 02089325 | RAILROAD MEDICARE |
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