Sullivan, Scott Keith

Sullivan, Scott Keith is an individual health care provider with primary practice located at 1717 Saint Charles Ave , New Orleans LA 70130-5223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Sullivan, Scott Keith can be contacted via phone (504) 899-2800.

Contact Information

Primary practice address
1717 Saint Charles Ave New Orleans LA 70130-5223
Phone: (504) 899-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD.021287 Louisiana

Profile Details

NPI number 1154344000
LBN Legal business name Sullivan, Scott Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 7th, 2016 - about 9 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 1154344000 NPPES
Louisiana MEDICAID 192322

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