Sullivan, Richard L

Sullivan, Richard L is an individual health care provider with primary practice located at 49 Spring St , Scarborough ME 04074-8926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Sullivan, Richard L can be contacted via phone (207) 883-1414.

Contact Information

Primary practice address
49 Spring St Scarborough ME 04074-8926
Phone: (207) 883-1414
Fax: (207) 883-1518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 008530 Maine

Profile Details

NPI number 1518967678
LBN Legal business name Sullivan, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Dec 1st, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518967678 NPPES
Maine MEDICAID 26977009
Maine MEDICAID 30209412
Maine MEDICAID 292100099

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