Sullivan, Christopher Albert

Sullivan, Christopher Albert is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Sullivan, Christopher Albert can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-9440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 200500610 North Carolina

Profile Details

NPI number 1538143904
LBN Legal business name Sullivan, Christopher Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Aug 23rd, 2010 - about 15 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 1538143904 NPPES
Other 805849 PARTNERS
MEDICAID 10157978 PARTNERS
Other 182602 PARTNERS
MEDICAID 3810001904 PARTNERS
Other 139F4 PARTNERS
Other 7184757 PARTNERS
Other P00404443 PARTNERS
MEDICAID 5900684 PARTNERS

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