Sully, Louis

Sully, Louis is an individual health care provider with primary practice located at 720 N 129Th St , Omaha NE 68154-6109. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Sully, Louis can be contacted via phone (402) 397-0670.

Contact Information

Primary practice address
720 N 129Th St Omaha NE 68154-6109
Phone: (402) 397-0670
Fax: (402) 397-0713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 895 Nebraska

Profile Details

NPI number 1346212966
LBN Legal business name Sully, Louis
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 19th, 2016 - about 10 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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