Sullivan, Donna J
Sullivan, Donna J is an sole proprietor health care provider with primary practice located at 210 4Th Ave , Grinnell IA 50112-1898. 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, Donna J can be contacted via phone (641) 236-2500.Contact Information
Primary practice address
210 4Th Ave
Grinnell IA 50112-1898
Phone: (641) 236-2500
Fax: (641) 236-2539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1028 | Iowa |
Profile Details
| NPI number | 1396796843 |
|---|---|
| LBN Legal business name | Sullivan, Donna J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 9th, 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 | 1396796843 | NPPES |
| Iowa | Other | 1028 | LICENSE NUMBER |
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