Sullivan, Scott G

Sullivan, Scott G is an individual health care provider with primary practice located at 408 W 19Th St , Panama City FL 32405-4602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Sullivan, Scott G can be contacted via phone (850) 481-1101.

Contact Information

Primary practice address
408 W 19Th St Panama City FL 32405-4602
Phone: (850) 481-1101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9110596 Florida

Profile Details

NPI number 1750440004
LBN Legal business name Sullivan, Scott G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 15th, 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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