Sullivent, Ernest Eugene
Sullivent, Ernest Eugene is an individual health care provider with primary practice located at 8034 Edgerton Drive Suite 132, Usaf Academy CO 80840-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Sullivent, Ernest Eugene can be contacted via phone (719) 333-7716.Contact Information
Primary practice address
8034 Edgerton Drive Suite 132
Usaf Academy CO 80840-2200
Phone: (719) 333-7716
Fax: (719) 333-3578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | J8386 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | J8386 | Texas |
Profile Details
| NPI number | 1447288188 |
|---|---|
| LBN Legal business name | Sullivent, Ernest Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 19th, 2018 - about 8 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 | 1447288188 | NPPES |
| Texas | MEDICAID | 131177107 |
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