Sullivan, Coleen

Sullivan, Coleen is an individual health care provider with primary practice located at 400 Hualani St Bldg 9 Suite 192, Hilo HI 96720-4378. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Sullivan, Coleen can be contacted via phone (808) 935-6620.

Contact Information

Primary practice address
400 Hualani St Bldg 9 Suite 192 Hilo HI 96720-4378
Phone: (808) 935-6620
Fax: (808) 935-6781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4503 Arizona
Dental Providers / General Practice 1223G0001X DT-2596 Hawaii

Profile Details

NPI number 1669466280
LBN Legal business name Sullivan, Coleen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 19th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669466280 NPPES
Arizona MEDICAID 191958

Popular Providers