Sullivan, Pamela J
Sullivan, Pamela J is an individual health care provider with primary practice located at 1 Medical Center Drive , Clarksburg WV 26301-4199. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Sullivan, Pamela J can be contacted via phone (304) 623-3461.Contact Information
Primary practice address
1 Medical Center Drive
Clarksburg WV 26301-4199
Phone: (304) 623-3461
Fax: (304) 623-7666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 12090 | West Virginia |
Profile Details
| NPI number | 1356314306 |
|---|---|
| LBN Legal business name | Sullivan, Pamela J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Apr 10th, 2012 - about 14 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 | 1356314306 | NPPES |
| West Virginia | Other | 260024338 | RAILROAD MEDICARE |
| West Virginia | MEDICAID | 0116952000 | RAILROAD MEDICARE |
Popular Providers
-
Allen, Joel
6 Hospital Plz , Clarksburg WV 26301-9316 -
Bowling, Patricia Jean
1350 E 750 N , Orem UT 84097-4345 -
Kurapati, Surekha
1 Medical Center Dr , Clarksburg WV 26301 -
Reichert, Andrew R
85 Bryant Woods S , Amherst NY 14228-3604 -
Nickolova, Maria K
85 Bryant Woods S , Amherst NY 14228-3604 -
Cartagena, Maria T
85 Bryant Woods S , Amherst NY 14228-3604 -
Shaw, Patricia Ann
1 Med Center Dr , Clarksburg WV 26301-4155 -
Momen, Auvid
6 Hospital Plz , Clarksburg WV 26301-9316