Sullivan, Sean

Sullivan, Sean is an individual health care provider with primary practice located at 14715 E. Hwy 20 , Clearlake Oaks CA 95423. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Sullivan, Sean can be contacted via phone (707) 998-1800.

Contact Information

Primary practice address
14715 E. Hwy 20 Clearlake Oaks CA 95423
Phone: (707) 998-1800
Fax: (707) 998-0122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17429 California

Profile Details

NPI number 1356049191
LBN Legal business name Sullivan, Sean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2023
Last updated Feb 21st, 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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