Sullivan, Jennifer Marie

Sullivan, Jennifer Marie is an sole proprietor health care provider with primary practice located at 450 Washington St Ste 201 , Dedham MA 02026-4449. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Sullivan, Jennifer Marie can be contacted via phone (781) 449-1884.

Contact Information

Primary practice address
450 Washington St Ste 201 Dedham MA 02026-4449
Phone: (781) 449-1884
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 6534 Massachusetts

Profile Details

NPI number 1588805881
LBN Legal business name Sullivan, Jennifer Marie
Credentials OT/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2009
Last updated Mar 16th, 2009 - about 17 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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