Sullivan, John Patrick

Sullivan, John Patrick is an individual health care provider with primary practice located at 419 W Gray St , Norman OK 73069-7117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sullivan, John Patrick can be contacted via phone (405) 329-7300.

Contact Information

Primary practice address
419 W Gray St Norman OK 73069-7117
Fax: (405) 364-5379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14800 Oklahoma

Profile Details

NPI number 1669571568
LBN Legal business name Sullivan, John Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 25th, 2022 - about 4 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 1669571568 NPPES
Oklahoma MEDICAID 100824410A
Oklahoma MEDICAID 100824410B

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