Sullivan, Seth J.

Sullivan, Seth J. is an individual health care provider with primary practice located at 800 Scott And White Dr , College Station TX 77845-6440. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Sullivan, Seth J. can be contacted via phone (979) 207-4000.

Contact Information

Primary practice address
800 Scott And White Dr College Station TX 77845-6440
Fax: (979) 207-4562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50163 Minnesota
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X N8995 Texas

Profile Details

NPI number 1962484337
LBN Legal business name Sullivan, Seth J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 6th, 2020 - about 4 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 1962484337 NPPES
Minnesota MEDICAID 478630100

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