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Search › Louisiana › 226300000X

James Sullivan, RKT CEP

NPI 1649384983 · on the registry since 2006 · sole proprietor

Practice

Address
510 E Stoner Ave
Shreveport, LA 71101
Phone
(318) 424-6106
Fax
(318) 429-5727
Organisation at this address
Obvamc
Shreveport Vamc
Shreveport Vamc
Shreveport Vamc
Shreveport Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
494

Registry record

Primary taxonomy
226300000X
226300000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana