Sullivan, Paul S
Sullivan, Paul S is an individual health care provider with primary practice located at 345 N Main St Suite 245, West Hartford CT 06117-2515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sullivan, Paul S can be contacted via phone (860) 236-3000.Contact Information
Primary practice address
345 N Main St Suite 245
West Hartford CT 06117-2515
Phone: (860) 236-3000
Fax: (860) 236-3002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 000527 | Connecticut |
Profile Details
| NPI number | 1740200377 |
|---|---|
| LBN Legal business name | Sullivan, Paul S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Dec 14th, 2015 - about 10 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 | 1740200377 | NPPES |
| Connecticut | MEDICAID | 001005273 |
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