Sullivan, Susan

Sullivan, Susan is an individual health care provider with primary practice located at 3101 Se 14Th St , Bentonville AR 72712-4900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sullivan, Susan can be contacted via phone (479) 636-9234.

Contact Information

Primary practice address
3101 Se 14Th St Bentonville AR 72712-4900
Phone: (479) 636-9234
Fax: (479) 636-0774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-7987 Arkansas

Profile Details

NPI number 1154647238
LBN Legal business name Sullivan, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2010
Last updated Jul 21st, 2022 - 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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