Sullivan, Timothy P
Sullivan, Timothy P is an individual health care provider with primary practice located at 131 Madison Ave Ste 130 , Morristown NJ 07960-7360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sullivan, Timothy P can be contacted via phone (973) 267-1113.Contact Information
Primary practice address
131 Madison Ave Ste 130
Morristown NJ 07960-7360
Phone: (973) 267-1113
Fax: (973) 267-0719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA05297600 | New Jersey |
Profile Details
| NPI number | 1417944562 |
|---|---|
| LBN Legal business name | Sullivan, Timothy P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Feb 5th, 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 | 1417944562 | NPPES |
| Pennsylvania | Other | 0136332000 | AMERIHEALTH |
| Pennsylvania | Other | 0K2236 | AMERIHEALTH |
| Pennsylvania | Other | 15240 | AMERIHEALTH |
| Pennsylvania | Other | 0004259606 | AMERIHEALTH |
| Pennsylvania | Other | 7731618 | AMERIHEALTH |
| Pennsylvania | Other | IS471 | AMERIHEALTH |
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