Sullivan, Timothy W

Sullivan, Timothy W is an individual health care provider with primary practice located at 155 Borthwick Ave Suite 200 E, Portsmouth NH 03801-7156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sullivan, Timothy W can be contacted via phone (603) 436-1773.

Contact Information

Primary practice address
155 Borthwick Ave Suite 200 E Portsmouth NH 03801-7156
Phone: (603) 436-1773
Fax: (603) 427-0655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 16565 New Hampshire

Profile Details

NPI number 1538486717
LBN Legal business name Sullivan, Timothy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2010
Last updated May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538486717 NPPES
New Hampshire MEDICAID 3098071

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