Sullivan, Raymond Charles

Sullivan, Raymond Charles is an individual health care provider with primary practice located at 1511 Westover Ter Suite 201, Greensboro NC 27408-7128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sullivan, Raymond Charles can be contacted via phone (336) 373-0611.

Contact Information

Primary practice address
1511 Westover Ter Suite 201 Greensboro NC 27408-7128
Phone: (336) 373-0611
Fax: (336) 373-1589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19193 North Carolina

Profile Details

NPI number 1255327615
LBN Legal business name Sullivan, Raymond Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 31st, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255327615 NPPES
North Carolina MEDICAID 8980871

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