Sullivan, Robert Dennis

Sullivan, Robert Dennis is an sole proprietor health care provider with primary practice located at 102 Carlanna Lake Road , Ketchikan AK 99901. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Sullivan, Robert Dennis can be contacted via phone (907) 225-5576.

Contact Information

Primary practice address
102 Carlanna Lake Road Ketchikan AK 99901
Phone: (907) 225-5576
Fax: (206) 299-4244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 605 Alaska

Profile Details

NPI number 1679609911
LBN Legal business name Sullivan, Robert Dennis
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 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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