Sullivan, Robin

Sullivan, Robin is an individual health care provider with primary practice located at 17 93Rd St , Keene NH 03431-3748. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sullivan, Robin can be contacted via phone (603) 721-6366.

Contact Information

Primary practice address
17 93Rd St Keene NH 03431-3748
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1982809711
LBN Legal business name Sullivan, Robin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Aug 18th, 2008 - about 16 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 1982809711 NPPES
New Hampshire MEDICAID 81263595

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