Sullivan, Laverne A
Sullivan, Laverne A is an individual health care provider with primary practice located at 4210 Flagstaff Cv , Fort Wayne IN 46815-4417. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Sullivan, Laverne A can be contacted via phone (260) 489-9009.Contact Information
Primary practice address
4210 Flagstaff Cv
Fort Wayne IN 46815-4417
Phone: (260) 489-9009
Fax: (260) 489-5057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37000748A | Indiana |
Profile Details
| NPI number | 1023045200 |
|---|---|
| LBN Legal business name | Sullivan, Laverne A |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jul 1st, 2014 - about 12 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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