Sullivan, Richard Joseph

Sullivan, Richard Joseph is an sole proprietor health care provider with primary practice located at 7904 Turin Rd , Rome NY 13440-1933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sullivan, Richard Joseph can be contacted via phone (315) 336-3400.

Contact Information

Primary practice address
7904 Turin Rd Rome NY 13440-1933
Fax: (315) 336-2691
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 116001 New York

Profile Details

NPI number 1275607624
LBN Legal business name Sullivan, Richard Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jan 8th, 2010 - about 14 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 1275607624 NPPES
New York MEDICAID 00604215

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