Sullivan, Casey Elizabeth

Sullivan, Casey Elizabeth is an sole proprietor health care provider with primary practice located at 2545 24Th St , Rock Island IL 61201-5305. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Sullivan, Casey Elizabeth can be contacted via phone (309) 788-0458.

Contact Information

Primary practice address
2545 24Th St Rock Island IL 61201-5305
Phone: (309) 788-0458
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056010748 Illinois

Profile Details

NPI number 1760887715
LBN Legal business name Sullivan, Casey Elizabeth
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2014
Last updated Nov 1st, 2014 - about 12 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 1760887715 NPPES
Illinois Other 056010748 IL OCCUPATIONAL THERAPY LICENSE NUMBER
Illinois Other 330341 IL OCCUPATIONAL THERAPY LICENSE NUMBER

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