Sullivan, Gerald Bland
Sullivan, Gerald Bland is an individual health care provider with primary practice located at 7 Kennedy Dr , Putnam CT 06260-1939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sullivan, Gerald Bland can be contacted via phone (860) 928-6541.Contact Information
Primary practice address
7 Kennedy Dr
Putnam CT 06260-1939
Phone: (860) 928-6541
Fax: (860) 928-8268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 024782 | Connecticut |
Profile Details
| NPI number | 1154396927 |
|---|---|
| LBN Legal business name | Sullivan, Gerald Bland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | May 13th, 2013 - about 13 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 | 1154396927 | NPPES |
| Connecticut | MEDICAID | 001247824 |
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