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Contact Information

SARAH H SULLIVAN, MS, RD, LDN
711 JEFFERSON AVE
MEMPHIS, TN38105-5003
 Phone: 901-448-6511
 Fax: 901-448-7097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for SARAH H SULLIVAN · (Female)

NPI # 1982936092
Status Active
Credentials MS, RD, LDN
Entity Individual
Enumeration date 02/01/2010
Last updated 09/26/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TN License # LDN2202
  • TN Medicaid 1519010
  • TN Other 103I711459 MEDICARE PTAN
Hospital affiliation(s) Not Available
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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