Sullivan, Patsa H
Sullivan, Patsa H is an individual health care provider with primary practice located at 800 E 28Th Street , Minneapolis MN 55407-3723. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Sullivan, Patsa H can be contacted via phone (612) 863-4060.Contact Information
Primary practice address
800 E 28Th Street
Minneapolis MN 55407-3723
Phone: (612) 863-4060
Fax: (952) 808-8131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 47577 | Minnesota |
Profile Details
| NPI number | 1013093061 |
|---|---|
| LBN Legal business name | Sullivan, Patsa H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Nov 10th, 2020 - about 4 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 | 1013093061 | NPPES |
| Minnesota | MEDICAID | 724486000 |
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