Sullivan, Diane Jarrels
Sullivan, Diane Jarrels is an sole proprietor health care provider with primary practice located at 500 Irvington Road , Kilmarnock, VA 22482. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Sullivan, Diane Jarrels can be contacted via phone (804) 435-3435.Contact Information
Primary practice address
500 Irvington Road
Kilmarnock, VA 22482
Phone: (804) 435-3435
Fax: (804) 435-3682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | 2306000138 | Virginia |
Profile Details
| NPI number | 1225224983 |
|---|---|
| LBN Legal business name | Sullivan, Diane Jarrels |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2007 |
| Last updated | Nov 19th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225224983 | NPPES |
| Virginia | Other | 194072 | BC PROVIDER ID |
| Virginia | Other | C06278 | BC PROVIDER ID |
| Virginia | Other | 20091 | BC PROVIDER ID |
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