Sullivan, Lottie J.

Sullivan, Lottie J. is an individual health care provider with primary practice located at 7467 East Main St. Suite 1 , Reynoldsburg OH 43068-7270. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Lottie J. can be contacted via phone (614) 552-3979.

Contact Information

Primary practice address
7467 East Main St. Suite 1 Reynoldsburg OH 43068-7270
Phone: (614) 552-3979
Fax: (614) 870-6855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0900135SUPV Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0900135 Ohio

Profile Details

NPI number 1538399399
LBN Legal business name Sullivan, Lottie J.
Credentials LISW-S
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2009
Last updated Nov 16th, 2011 - about 15 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 1538399399 NPPES
Ohio MEDICAID 08258

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