Sullivan, Vincent E.
Sullivan, Vincent E. is an individual health care provider with primary practice located at 19878 Saint Joseph Dr , Centerville IA 52544-8850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sullivan, Vincent E. can be contacted via phone (641) 437-1576.Contact Information
Primary practice address
19878 Saint Joseph Dr
Centerville IA 52544-8850
Phone: (641) 437-1576
Fax: (641) 437-4205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 18213 | Iowa |
Profile Details
| NPI number | 1750361036 |
|---|---|
| LBN Legal business name | Sullivan, Vincent E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Nov 27th, 2007 - about 17 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 | 1750361036 | NPPES |
| Iowa | MEDICAID | 0186270 |
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