Sullivan, Rita De-Haan
Sullivan, Rita De-Haan is an sole proprietor health care provider with primary practice located at 201 W Main St Suite 1B, Medford OR 97501-2744. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Rita De-Haan can be contacted via phone (541) 944-5711.Contact Information
Primary practice address
201 W Main St Suite 1B
Medford OR 97501-2744
Phone: (541) 944-5711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 965 | Oregon |
Profile Details
| NPI number | 1417034794 |
|---|---|
| LBN Legal business name | Sullivan, Rita De-Haan |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | May 11th, 2017 - 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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