Sullivan, Maralissa A
Sullivan, Maralissa A is an sole proprietor health care provider with primary practice located at Po Box 9012 , Fort Wayne IN 46899-9012. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sullivan, Maralissa A can be contacted via phone (260) 676-0074.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 39002971A | Indiana |
Profile Details
| NPI number | 1700130267 |
|---|---|
| LBN Legal business name | Sullivan, Maralissa A |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2012 |
| Last updated | Apr 21st, 2025 - about last year |
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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