Sullivan, Thomas Brian

Sullivan, Thomas Brian is an individual health care provider with primary practice located at 790 Bryan St , Huntingdon PA 16652-2410. 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, Thomas Brian can be contacted via phone (814) 643-8299.

Contact Information

Primary practice address
790 Bryan St Huntingdon PA 16652-2410
Phone: (814) 643-8299
Fax: (814) 643-8300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0A002066 Pennsylvania

Profile Details

NPI number 1841212032
LBN Legal business name Sullivan, Thomas Brian
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 6th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841212032 NPPES
Other 376731WFP MEDICARE
MEDICAID 103205926 MEDICARE

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