Sullivan, Colleen Marie
Sullivan, Colleen Marie is an individual health care provider with primary practice located at 2076 Highway 42 West , Clayton NC 27520-5302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sullivan, Colleen Marie can be contacted via phone (919) 763-1050.Contact Information
Primary practice address
2076 Highway 42 West
Clayton NC 27520-5302
Phone: (919) 763-1050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 104145 | North Carolina |
Profile Details
| NPI number | 1952319501 |
|---|---|
| LBN Legal business name | Sullivan, Colleen Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jan 28th, 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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