Sullivan, William Bruns
Sullivan, William Bruns is an individual health care provider with primary practice located at 109 Millsaps Dr Suite C, Hattiesburg MS 39402-1348. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sullivan, William Bruns can be contacted via phone (601) 268-5051.Contact Information
Primary practice address
109 Millsaps Dr Suite C
Hattiesburg MS 39402-1348
Phone: (601) 268-5051
Fax: (601) 268-5054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12999 | Mississippi |
Profile Details
| NPI number | 1033177894 |
|---|---|
| LBN Legal business name | Sullivan, William Bruns |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | May 8th, 2013 - about 12 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 | 1033177894 | NPPES |
| Mississippi | MEDICAID | 00118398 |
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