Sulllivan, Katheryn Ann

Sulllivan, Katheryn Ann is an sole proprietor health care provider with primary practice located at 214 E Avenue B , Bismarck ND 58501-3649. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Sulllivan, Katheryn Ann can be contacted via phone (701) 202-4978.

Contact Information

Primary practice address
214 E Avenue B Bismarck ND 58501-3649
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1114671302
LBN Legal business name Sulllivan, Katheryn Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2022
Last updated Feb 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114671302 NPPES
North Dakota MEDICAID 3747P1801X

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