Sullivan, Robert
Sullivan, Robert is an individual health care provider with primary practice located at 2145 Henry Tecklenburg Dr 220 , Charleston SC 29414-2963. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Sullivan, Robert can be contacted via phone (843) 723-8823.Contact Information
Primary practice address
2145 Henry Tecklenburg Dr 220
Charleston SC 29414-2963
Phone: (843) 723-8823
Fax: (843) 606-8059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 19223 | Mississippi |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2008-01579 | North Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 32237 | South Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2008-01579 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 32237 | South Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 2008-01579 | North Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 32237 | South Carolina |
Profile Details
| NPI number | 1538368923 |
|---|---|
| LBN Legal business name | Sullivan, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | May 23rd, 2024 - about last year |
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 | 1538368923 | NPPES |
| North Carolina | MEDICAID | 5911895 | |
| North Carolina | MEDICAID | NC1040 | |
| North Carolina | Other | P01163110 | |
| North Carolina | Other | P01011085 | |
| North Carolina | Other | 152J3 |
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