Sully, Kristina
Sully, Kristina is an sole proprietor health care provider with primary practice located at 2801 W Bancroft St Ms 513, Toledo OH 43606-3328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Sully, Kristina can be contacted via phone (419) 530-3451.Contact Information
Primary practice address
2801 W Bancroft St Ms 513
Toledo OH 43606-3328
Phone: (419) 530-3451
Fax: (419) 530-3499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 111067 | Ohio |
Profile Details
| NPI number | 1558490839 |
|---|---|
| LBN Legal business name | Sully, Kristina |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 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 | 1558490839 | NPPES |
| Ohio | MEDICAID | 2189644 |
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