Sullivan, Judith Ann
Sullivan, Judith Ann is an sole proprietor health care provider with primary practice located at 2453 Morgan Ave , Bronx NY 10469-5705. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Sullivan, Judith Ann can be contacted via phone (718) 882-5240.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 239541-1 | New York |
Profile Details
| NPI number | 1659401347 |
|---|---|
| LBN Legal business name | Sullivan, Judith Ann |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659401347 | NPPES |
| New York | MEDICAID | 01555462 |
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