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
Phone: (315) 336-3400
Fax: (315) 336-2691
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275607624 | NPPES |
| New York | MEDICAID | 00604215 |
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