Sullivan, Penny

Sullivan, Penny is an individual health care provider with primary practice located at 2710 S Rife Medical Ln , Rogers AR 72758-1452. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Sullivan, Penny can be contacted via phone (479) 338-3507.

Contact Information

Primary practice address
2710 S Rife Medical Ln Rogers AR 72758-1452
Phone: (479) 338-3507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 440552485 Missouri

Profile Details

NPI number 1760206825
LBN Legal business name Sullivan, Penny
Credentials BENEFIT CORD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2024
Last updated Nov 14th, 2024 - about 2 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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