Sullivan, William Walter
Sullivan, William Walter is an individual health care provider with primary practice located at 6810 Post Rd , North Kingstown RI 02852. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sullivan, William Walter can be contacted via phone (401) 884-1525.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1685 | Rhode Island |
Profile Details
| NPI number | 1588614630 |
|---|---|
| LBN Legal business name | Sullivan, William Walter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1588614630 | NPPES |
| Rhode Island | Other | 83825 | BLUE CROSS BLUE SHIELD |
| Rhode Island | Other | 1685 | BLUE CROSS BLUE SHIELD |
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