Shannon J Sullivan
Pediatrician Neonatal-Perinatal Doctor
200 Hawkins Dr
Iowa City
, Iowa 52242-1009
Shannon J Sullivan
Pediatrician Neonatal-Perinatal Doctor
200 Hawkins Dr
Iowa City
, Iowa 52242-1009
(319) 384-6295
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About
Features
Specialties
- Pediatrician
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Shannon J Sullivan
- 200 Hawkins Dr
- Iowa City, IA
- Zip : 52242-1009
- Fax : (319) 384-6295
- Phone : (319) 384-7745
Second Address
- Shannon J Sullivan
- 200 Hawkins Dr
- Iowa City, IA
- Zip : 52242-1009
- Fax : (319) 384-6295
- Phone : (319) 384-7745
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FAQs
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What type of doctor is Shannon J Sullivan
In what state does Shannon J Sullivan practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 33360 | IA |
| N | 2080N0001X | Neonatal-Perinatal Doctor | 33360 | IA |
National Provider Identifier
| NPI | 1093702755 |
|---|---|
| Provider Name | Shannon J Sullivan |
| First Address | Iowa City, IA 52242-1009 |
| Second Address | Iowa City, IA 52242-1009 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2005 |
| Last Update Date | 18/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0206524 | (05) | IA |
| 16241 | WELLMARK BCBS (01) | IA |
| F24080 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.