Sullivan, Edward M
Sullivan, Edward M is an individual health care provider with primary practice located at 341 Wheatfield Dr Suite 190, Sunnyvale TX 75182-4638. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sullivan, Edward M can be contacted via phone (972) 686-8200.Contact Information
Primary practice address
341 Wheatfield Dr Suite 190
Sunnyvale TX 75182-4638
Phone: (972) 686-8200
Fax: (972) 686-7711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01111 | Texas |
Profile Details
| NPI number | 1942209333 |
|---|---|
| LBN Legal business name | Sullivan, Edward M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Sep 17th, 2010 - about 16 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 | 1942209333 | NPPES |
| Texas | MEDICAID | 1013069541 |
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