Sullivan, Bonnie
Sullivan, Bonnie is an sole proprietor health care provider with primary practice located at 876 W Faris Rd , Greenville SC 29605-4253. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Sullivan, Bonnie can be contacted via phone (864) 455-5648.Contact Information
Primary practice address
876 W Faris Rd
Greenville SC 29605-4253
Phone: (864) 455-5648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | LL-92472 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | LL-92472 | South Carolina |
Profile Details
| NPI number | 1255182358 |
|---|---|
| LBN Legal business name | Sullivan, Bonnie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2024 |
| Last updated | Jul 19th, 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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