SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC; NPI #1669468278

Contact Information

SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC

7706 OLENTANGY RIVER RD
COLUMBUS, OH 43235-1317

Phone: 614-436-8888
Fax: 614-436-8847
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC

NPI Number 1669468278

LBN Legal business name SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC

Authorized official MICHAEL SULLIVAN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/20/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

216 / ID 0317AS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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