Kent Sullivan, Md

LBN: Northwest Hospital Provider Trust
Kent Sullivan, Md is an health care organization with primary practice located at 1530 N 115Th St Suite 107, Seattle WA 98133-8421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Northwest Hospital Provider Trust can be contacted via phone (206) 368-6560, or through Hamlet, Kristi via phone (206) 368-6572.

Contact Information

Primary practice address
1530 N 115Th St Suite 107 Seattle WA 98133-8421
Phone: (206) 368-6560
Fax: (206) 368-6562
Website:
Map and Directions
Authorized official contact:
Name: Hamlet, Kristi
Phone: (206) 368-6572

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1770545352
LBN Legal business name Northwest Hospital Provider Trust
DBA Doing business as Kent Sullivan, Md
Authorized official Hamlet, Kristi
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 6th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770545352 NPPES
Washington Other DB5811 RAILROAD MEDICARE

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