MR. CHESTER STEVEN SULLIVAN PA-C NPI 1811976079

NPI Information

NPI: 1811976079
Provider Name: MR. CHESTER STEVEN SULLIVAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1650 COCHRANE CIR
FT CARSON, CO
ZIP 80913
Phone: (719) 524-4068
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MR. Chester Steven Sullivan, PA-C is a medical physician assistant in Ft Carson, CO. MR. Chester Steven Sullivan, PA-C NPI is 1811976079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1650 COCHRANE CIR
FT CARSON, CO
ZIP 80913-603
Phone: (719) 524-4068

The enumeration date for this NPI number is 1/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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