Sullivan, Richard

Sullivan, Richard is an sole proprietor health care provider with primary practice located at 1525 Fullilove Dr , Bossier City LA 71112-3346. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Sullivan, Richard can be contacted via phone (318) 747-1111.

Contact Information

Primary practice address
1525 Fullilove Dr Bossier City LA 71112-3346
Phone: (318) 747-1111
Fax: (318) 317-3333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4146 Louisiana

Profile Details

NPI number 1821567611
LBN Legal business name Sullivan, Richard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2018
Last updated Nov 21st, 2018 - about 7 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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