Sullivan, Janice Elaine

Sullivan, Janice Elaine is an individual health care provider with primary practice located at 231 E Chestnut St , Louisville KY 40202-1821. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Sullivan, Janice Elaine can be contacted via phone (502) 629-6000.

Contact Information

Primary practice address
231 E Chestnut St Louisville KY 40202-1821
Phone: (502) 629-6000
Fax: (502) 629-5865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 31607 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31607 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 31607 Kentucky

Profile Details

NPI number 1972587954
LBN Legal business name Sullivan, Janice Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Oct 27th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972587954 NPPES
Indiana MEDICAID 200045900
Indiana MEDICAID 64998891

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