Sullivan, Patricia Susana
Sullivan, Patricia Susana is an sole proprietor health care provider with primary practice located at 702 E Bell Rd Ste 112, Phoenix AZ 85022-6639. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sullivan, Patricia Susana can be contacted via phone (602) 826-7134.Contact Information
Primary practice address
702 E Bell Rd Ste 112
Phoenix AZ 85022-6639
Phone: (602) 826-7134
Fax: (480) 269-9462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 15987 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 40062 | Arizona |
Profile Details
| NPI number | 1861455222 |
|---|---|
| LBN Legal business name | Sullivan, Patricia Susana |
| Credentials | MD MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1861455222 | NPPES |
| Arizona | MEDICAID | 358212 | |
| Arizona | MEDICAID | 159875 | |
| Arizona | Other | 2015987 | |
| Arizona | Other | F427208066 |
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