Sullivan, Stephanie

Sullivan, Stephanie is an individual health care provider with primary practice located at 1304 Franklin Ave , Normal IL 61761-3558. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Sullivan, Stephanie can be contacted via phone (309) 454-1400.

Contact Information

Primary practice address
1304 Franklin Ave Normal IL 61761-3558
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 125.063484 Illinois

Profile Details

NPI number 1073952396
LBN Legal business name Sullivan, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2013
Last updated Aug 18th, 2016 - about 8 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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