Sullivan, Timothy Shawn
Sullivan, Timothy Shawn is an individual health care provider with primary practice located at 701 White Pond Dr Suite 300, Akron OH 44320. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sullivan, Timothy Shawn can be contacted via phone (330) 572-1011.Contact Information
Primary practice address
701 White Pond Dr Suite 300
Akron OH 44320
Phone: (330) 572-1011
Fax: (330) 572-1018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5645 | Ohio |
Profile Details
| NPI number | 1336203397 |
|---|---|
| LBN Legal business name | Sullivan, Timothy Shawn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Aug 14th, 2013 - about 13 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 | 1336203397 | NPPES |
| Ohio | MEDICAID | 2253350 |
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