Sullivan, Patricia
Sullivan, Patricia is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Sullivan, Patricia can be contacted via phone (831) 454-4170.Contact Information
Primary practice address
1400 Emeline Ave
Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / General Practice | 163WG0000X | RN 655241 | California |
Profile Details
NPI number | 1043698459 |
---|---|
LBN Legal business name | Sullivan, Patricia |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 18th, 2015 |
Last updated | May 18th, 2015 - about 9 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 | 1043698459 | NPPES |
California | Other | ZZZ91891Z | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
California | Other | ZZZ91892Z | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
California | Other | ZZZ92069Z | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
California | Other | FHC70044F | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
California | Other | RN 655241 | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
California | Other | FHC70042F | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
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