Sullivan, Dominique
Sullivan, Dominique is an sole proprietor health care provider with primary practice located at 538 Swan Range Rd , Orange City FL 32763-6676. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Sullivan, Dominique can be contacted via phone (386) 315-3537.Contact Information
Primary practice address
538 Swan Range Rd
Orange City FL 32763-6676
Phone: (386) 315-3537
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1598239519 |
|---|---|
| LBN Legal business name | Sullivan, Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2019 |
| Last updated | Jan 12th, 2019 - about 7 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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