Sullivan, Robert Allen

Sullivan, Robert Allen is an individual health care provider with primary practice located at 1930 Coon Rapids Blvd Family Life Mental Health Center, Coon Rapids MN 55433. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sullivan, Robert Allen can be contacted via phone (763) 427-7964.

Contact Information

Primary practice address
1930 Coon Rapids Blvd Family Life Mental Health Center Coon Rapids MN 55433
Phone: (763) 427-7964
Fax: (763) 427-7976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8 Minnesota

Profile Details

NPI number 1548224355
LBN Legal business name Sullivan, Robert Allen
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1548224355 NPPES
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Other 6200879 HEALTH PARTNERS
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