Sullivan, Shelby A
Sullivan, Shelby A is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Sullivan, Shelby A can be contacted via phone (603) 650-5000.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-0001
Phone: (603) 650-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 32061 | New Hampshire |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2007006900 | Missouri |
Profile Details
| NPI number | 1851503999 |
|---|---|
| LBN Legal business name | Sullivan, Shelby A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | May 13th, 2024 - about 6 months 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 | 1851503999 | NPPES |
| Missouri | MEDICAID | 968790183 |
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