Sullivan, Sabra
Sullivan, Sabra is an sole proprietor health care provider with primary practice located at 501 Marshall St Suite 606, Jackson MS 39202-1651. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Sullivan, Sabra can be contacted via phone (601) 355-8555.Contact Information
Primary practice address
501 Marshall St Suite 606
Jackson MS 39202-1651
Phone: (601) 355-8555
Fax: (601) 355-2244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 14238 | Mississippi |
Profile Details
| NPI number | 1932176641 |
|---|---|
| LBN Legal business name | Sullivan, Sabra |
| Credentials | M.D., PHD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jun 14th, 2010 - about 16 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 | 1932176641 | NPPES |
| Mississippi | MEDICAID | 0114928 |
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