Sullivan, Lynetta Irene

Sullivan, Lynetta Irene is an sole proprietor health care provider with primary practice located at 808 Fir St , Truth Or Consequences NM 87901-1724. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Sullivan, Lynetta Irene can be contacted via phone (575) 208-4045.

Contact Information

Primary practice address
808 Fir St Truth Or Consequences NM 87901-1724
Phone: (575) 208-4045
Fax: (575) 208-4045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1508519935
LBN Legal business name Sullivan, Lynetta Irene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2022
Last updated Jan 26th, 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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