Sullivan, William J

Sullivan, William J is an individual health care provider with primary practice located at 608 Willard , Frontenac KS 66763-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sullivan, William J can be contacted via phone (620) 231-8849.

Contact Information

Primary practice address
608 Willard Frontenac KS 66763-2120
Phone: (620) 231-8849
Fax: (620) 231-8847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 05-25406 Kansas

Profile Details

NPI number 1093805897
LBN Legal business name Sullivan, William J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 6th, 2016 - about 8 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 1093805897 NPPES
Kansas Other 200213791 TRICARE
Kansas Other P00077657 TRICARE
Kansas MEDICAID 100234810D TRICARE
Kansas Other 103449 TRICARE
Kansas Other 103449 TRICARE
Kansas Other 110994 TRICARE
Kansas Other 110994 TRICARE
Kansas Other 189381 TRICARE
Kansas Other DA9115 TRICARE

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