Sullivan, Thomas Y
Sullivan, Thomas Y is an individual health care provider with primary practice located at 714 N Senate Ave Ste 120, Indianapolis IN 46202-3297. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Sullivan, Thomas Y can be contacted via phone (317) 963-0555.Contact Information
Primary practice address
714 N Senate Ave Ste 120
Indianapolis IN 46202-3297
Phone: (317) 963-0555
Fax: (317) 963-5605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 01025460A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01025460A | Indiana |
Profile Details
| NPI number | 1669474524 |
|---|---|
| LBN Legal business name | Sullivan, Thomas Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Nov 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669474524 | NPPES |
| Indiana | MEDICAID | 100062790 |
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