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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, M.D., INC.

NPI # 1477653897
LBN Legal business name DENNIS P. SULLIVAN, M.D., INC.
Authorized official DENNIS SULLIVAN - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2006
Last updated 02/01/2010 - About 16 years ago
Identifiers
OH License # 35-037690
OH Medicaid 2945273
OH Other SU4262411 MEDICARE PTAN
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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