Terrance Lee Sullivan
Electrophysiology, Clinical
313 Glenwood Way
Butler
, Pennsylvania 16001-1648
Terrance Lee Sullivan
Electrophysiology, Clinical
313 Glenwood Way
Butler
, Pennsylvania 16001-1648
(724) 282-2466
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About
Features
Specialties
- Electrophysiology, Clinical
Languages spoken
- English
Location
First Address
- Terrance Lee Sullivan
- 313 Glenwood Way
- Butler, PA
- Zip : 16001-1648
- Fax : (724) 282-2466
- Phone : (724) 282-6549
Second Address
- Terrance Lee Sullivan
- 313 Glenwood Way
- Butler, PA
- Zip : 16001-1648
- Fax : (724) 282-2466
- Phone : (724) 282-6549
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251E1300X | Electrophysiology, Clinical | PT001575E | PA |
National Provider Identifier
| NPI | 1598857567 |
|---|---|
| Provider Name | Terrance Lee Sullivan |
| First Address | Butler, PA 16001-1648 |
| Second Address | Butler, PA 16001-1648 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 08/07/2007 |
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.