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Contact Information

DENNIS P. SULLIVAN, M.D., INC.
30 W. MCCREIGHT AVE STE 103
SPRINGFIELD, OH45504
 Phone: 937-399-8921
 Fax: 937-629-9248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DENNIS P SULLIVAN MD INC · (Female)

NPI # 1477653897
Status Active
Credentials
Entity Individual
Enumeration date 09/25/2006
Last updated 02/01/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 35-037690
  • OH Medicaid 2945273
  • OH Other SU4262411 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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