Sullivan, Diane

Sullivan, Diane is an sole proprietor health care provider with primary practice located at 24304 Perch Lake Rd , Watertown NY 13601-5268. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Sullivan, Diane can be contacted via phone (315) 788-1887.

Contact Information

Primary practice address
24304 Perch Lake Rd Watertown NY 13601-5268
Phone: (315) 788-1887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 263833-1 New York

Profile Details

NPI number 1932486776
LBN Legal business name Sullivan, Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2011
Last updated Nov 8th, 2011 - 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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