Sullivan, Patricia A

Sullivan, Patricia A is an individual health care provider with primary practice located at 2475 Village Dr Ste 107 , Kingsland GA 31548-6729. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Sullivan, Patricia A can be contacted via phone (912) 729-2294.

Contact Information

Primary practice address
2475 Village Dr Ste 107 Kingsland GA 31548-6729
Phone: (912) 729-2294
Fax: (912) 673-9457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005458 Georgia

Profile Details

NPI number 1598822538
LBN Legal business name Sullivan, Patricia A
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 9th, 2007 - about 19 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 1598822538 NPPES
Georgia Other 341003 WELLCARE PROVIDER NUMBER
Georgia Other 10059131 WELLCARE PROVIDER NUMBER

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