O'Sullivan, Ian Robert

O'Sullivan, Ian Robert is an individual health care provider with primary practice located at 193 Fairview Ln , Sonora CA 95370-4828. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. O'Sullivan, Ian Robert can be contacted via phone (209) 536-5000.

Contact Information

Primary practice address
193 Fairview Ln Sonora CA 95370-4828
Phone: (209) 536-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1083473300
LBN Legal business name O'Sullivan, Ian Robert
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2024
Last updated Mar 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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