National Provider Identifier Database

JOHN A SULLIVAN, MD – NPI #1013985134
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JOHN A SULLIVAN, MD
7330 RYEGRASS ROAD
JACKSON, WY83001
Phone: 307-733-9105
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for JOHN A SULLIVAN

NPI Number 1013985134
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 09/10/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • MO License #: R6F03
  • AR Medicaid: 110826001
  • MO Medicaid: 202340501
  • MO Other: 1256 BLUE
  • MO Other: 300034332 RRR MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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