Sullivan, Joan

Sullivan, Joan is an sole proprietor health care provider with primary practice located at 9010 Fitzsimmons Ave A Madigan Army Medical Center, Tacoma WA 98431-0001. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Sullivan, Joan can be contacted via phone (253) 968-3121.

Contact Information

Primary practice address
9010 Fitzsimmons Ave A Madigan Army Medical Center Tacoma WA 98431-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X MD00024273 Washington

Profile Details

NPI number 1144372970
LBN Legal business name Sullivan, Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 19 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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