Sullivan, Thomas

Sullivan, Thomas is an sole proprietor health care provider with primary practice located at 1045 W Stephenson St , Freeport IL 61032-4864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sullivan, Thomas can be contacted via phone (815) 599-6000.

Contact Information

Primary practice address
1045 W Stephenson St Freeport IL 61032-4864
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-060631 Illinois

Profile Details

NPI number 1740258946
LBN Legal business name Sullivan, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated May 12th, 2008 - about 16 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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