Sullivan, Robert A

Sullivan, Robert A is an individual health care provider with primary practice located at 3619 Old Forest Rd , Lynchburg VA 24501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Sullivan, Robert A can be contacted via phone (434) 385-8190.

Contact Information

Primary practice address
3619 Old Forest Rd Lynchburg VA 24501
Phone: (434) 385-8190
Fax: (434) 385-5873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0101055474 Virginia

Profile Details

NPI number 1437190436
LBN Legal business name Sullivan, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 31st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437190436 NPPES
Virginia MEDICAID 1982869897
Virginia Other VVT217A

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