Sullivan, Jeremy Tyson
Sullivan, Jeremy Tyson is an sole proprietor health care provider with primary practice located at 10601 Winterwood , Carmel IN 46032-8258. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sullivan, Jeremy Tyson can be contacted via phone (615) 478-3720.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35131 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01066525A | Indiana |
Profile Details
| NPI number | 1053379644 |
|---|---|
| LBN Legal business name | Sullivan, Jeremy Tyson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1053379644 | NPPES |
| Tennessee | MEDICAID | 3865060 |
Popular Providers
-
Mackie, Palmer J
11725 Illinois St Ste 250 , Carmel IN 46032-3015 -
Mcquillan, Patrick F
11725 N Illinois St Ste 465, Carmel IN 46032-3010 -
Meece, Jennifer B.
11725 N Illinois St Ste 465, Carmel IN 46032-3010 -
Darroca, Geraldine A
11911 N Meridian St Suite 110, Carmel IN 46032-6919 -
Vohra, Kunwar P
13450 N Meridian St Ste 354 , Carmel IN 46032-1486 -
Hutchinson, Thomas L
11725 Illinois Street Suite 465, Carmel IN 46032-3010 -
Koon, Andrew James
13500 N Meridian St , Carmel IN 46032-1456 -
Martin, Joseph P
13400 N Meridian St Ste 302 , Carmel IN 46032-7104