Sullivan, Scott A.
Sullivan, Scott A. is an individual health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3307. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Sullivan, Scott A. can be contacted via phone (703) 776-4001.Contact Information
Primary practice address
3300 Gallows Rd
Falls Church VA 22042-3307
Phone: (703) 776-4001
Fax: (703) 776-7113
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101273019 | Virginia |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 23966 | South Carolina |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 23966 | South Carolina |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 23966 | South Carolina |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 0101273019 | Virginia |
Profile Details
NPI number | 1356457717 |
---|---|
LBN Legal business name | Sullivan, Scott A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2006 |
Last updated | Dec 7th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356457717 | NPPES |
South Carolina | Other | 3922 | USC MEDICARE GROUP |
South Carolina | MEDICAID | T83022 | USC MEDICARE GROUP |
South Carolina | MEDICAID | USC001 | USC MEDICARE GROUP |
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