Sullivan, John S

Sullivan, John S is an individual health care provider with primary practice located at 100 Mlk Jr Blvd 2Nd Floor, Worcester MA 01608-1209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Sullivan, John S can be contacted via phone (508) 757-1589.

Contact Information

Primary practice address
100 Mlk Jr Blvd 2Nd Floor Worcester MA 01608-1209
Phone: (508) 757-1589
Fax: (508) 756-5633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 57446 Massachusetts

Profile Details

NPI number 1568466324
LBN Legal business name Sullivan, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 3rd, 2008 - about 18 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 1568466324 NPPES
Massachusetts Other 0200248 UNITED HEALTH CARE
Massachusetts Other 057446 UNITED HEALTH CARE
Massachusetts Other J30252 UNITED HEALTH CARE
Massachusetts Other 985163 UNITED HEALTH CARE
Massachusetts MEDICAID 6189768 UNITED HEALTH CARE
Massachusetts Other 042923137 UNITED HEALTH CARE
Massachusetts Other 645387 UNITED HEALTH CARE
Massachusetts Other 2376607 UNITED HEALTH CARE
Massachusetts Other 26920 UNITED HEALTH CARE
Massachusetts Other 63777 UNITED HEALTH CARE
Massachusetts Other 0029830 UNITED HEALTH CARE
Massachusetts Other 326051 UNITED HEALTH CARE

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