National Provider Identifier Database

DENNIS P SULLIVAN MD INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for DENNIS P. SULLIVAN, M.D., INC.

NPI Number 1477653897
Legal business name
LBN
DENNIS P. SULLIVAN, M.D., INC.
Authorized official DENNIS SULLIVAN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 09/25/2006
Last updated 02/01/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 35-037690
  • OH Medicaid: 2945273
  • OH Other: SU4262411 MEDICARE PTAN

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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