Sullivan, Sofia Baglivo
Sullivan, Sofia Baglivo is an individual health care provider with primary practice located at 206 York St Apt 1 , Jersey City NJ 07302-3645. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Sullivan, Sofia Baglivo can be contacted via phone (215) 512-1792.Contact Information
Primary practice address
206 York St Apt 1
Jersey City NJ 07302-3645
Phone: (215) 512-1792
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 024595 | New York |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 41YS01058600 | New Jersey |
Profile Details
| NPI number | 1417376708 |
|---|---|
| LBN Legal business name | Sullivan, Sofia Baglivo |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2014 |
| Last updated | Jan 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417376708 | NPPES |
| New York | MEDICAID | 04174021 |
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