Sullivan, Antoinette Roth
Sullivan, Antoinette Roth is an sole proprietor health care provider with primary practice located at 619 Goldsborough St , Easton MD 21601-3905. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sullivan, Antoinette Roth can be contacted via phone (410) 271-4840.Contact Information
Primary practice address
619 Goldsborough St
Easton MD 21601-3905
Phone: (410) 271-4840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC1266 | Maryland |
Profile Details
| NPI number | 1952446171 |
|---|---|
| LBN Legal business name | Sullivan, Antoinette Roth |
| Credentials | ED.D., LCPC, ACS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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