Sullivan, Caitlin M.

Sullivan, Caitlin M. is an individual health care provider with primary practice located at 420 E 2Nd St , West Jefferson NC 28694-9757. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sullivan, Caitlin M. can be contacted via phone (336) 489-4400.

Contact Information

Primary practice address
420 E 2Nd St West Jefferson NC 28694-9757
Phone: (336) 489-4400
Fax: (336) 489-4500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 218241 North Carolina

Profile Details

NPI number 1609221407
LBN Legal business name Sullivan, Caitlin M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2016
Last updated Dec 6th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609221407 NPPES
North Carolina Other NN9861D MEDICARE PTAN

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