Sullivent, Ernest Eugene

Sullivent, Ernest Eugene is an individual health care provider with primary practice located at 8034 Edgerton Drive Suite 132, Usaf Academy CO 80840-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Sullivent, Ernest Eugene can be contacted via phone (719) 333-7716.

Contact Information

Primary practice address
8034 Edgerton Drive Suite 132 Usaf Academy CO 80840-2200
Phone: (719) 333-7716
Fax: (719) 333-3578
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X J8386 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J8386 Texas

Profile Details

NPI number 1447288188
LBN Legal business name Sullivent, Ernest Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 19th, 2018 - about 6 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 1447288188 NPPES
Texas MEDICAID 131177107

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