Sullivan, Jillian E
Sullivan, Jillian E is an individual health care provider with primary practice located at 3000 S State Road 135 Suite 230, Greenwood IN 46143-9607. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health is her primary health care specialty. Sullivan, Jillian E can be contacted via phone (317) 535-0728.Contact Information
Primary practice address
3000 S State Road 135 Suite 230
Greenwood IN 46143-9607
Phone: (317) 535-0728
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20042704A | Indiana |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 20042704A | Indiana |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | 20042704A | Indiana |
Profile Details
| NPI number | 1114357506 |
|---|---|
| LBN Legal business name | Sullivan, Jillian E |
| Credentials | PH.D., HSPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2013 |
| Last updated | Nov 27th, 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 | 1114357506 | NPPES |
| Indiana | Other | 000000850729 | ANTHEM BCBS |
| Indiana | Other | P01569147 | ANTHEM BCBS |
| Indiana | Other | P01569147 | ANTHEM BCBS |
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