Sullivan, Casey

Sullivan, Casey is an individual health care provider with primary practice located at 6911 E Us Highway 36 , Avon IN 46123-8926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sullivan, Casey can be contacted via phone (317) 272-8033.

Contact Information

Primary practice address
6911 E Us Highway 36 Avon IN 46123-8926
Phone: (317) 272-8033
Fax: (317) 272-8044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002030A Indiana

Profile Details

NPI number 1578762944
LBN Legal business name Sullivan, Casey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Mar 17th, 2021 - about 5 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 1578762944 NPPES
Indiana MEDICAID 200865470

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