Sullivan, Patricia Susana

Sullivan, Patricia Susana is an sole proprietor health care provider with primary practice located at 702 E Bell Rd Ste 112, Phoenix AZ 85022-6639. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sullivan, Patricia Susana can be contacted via phone (602) 826-7134.

Contact Information

Primary practice address
702 E Bell Rd Ste 112 Phoenix AZ 85022-6639
Phone: (602) 826-7134
Fax: (480) 269-9462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15987 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40062 Arizona

Profile Details

NPI number 1861455222
LBN Legal business name Sullivan, Patricia Susana
Credentials MD MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Mar 7th, 2023 - about 3 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 1861455222 NPPES
Arizona MEDICAID 358212
Arizona MEDICAID 159875
Arizona Other 2015987
Arizona Other F427208066

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