Individual
DR. WILLIAM D. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 724-8346
(814) 336-6256
Mailing address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 724-8346
(814) 336-6256
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD027451E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008745270001
—
PA
01
—
020102200
BLACK LUNG PROGRAM
PA
05
—
0650611
—
PA
01
—
205046
UPMC HEALTH PLAN
PA
01
—
251754199
MEDICAL MUTUAL OF OHIO
PA
01
—
290007406
PALMETTO GBA-RAILROAD MEDICARE
PA
01
—
4235190002
NATIONAL SUPPLIERS CLEARINGHOUSE
PA
01
—
82392
UNISON HEALTH PLAN
PA
01
—
902561
HIGHMARK BLUE CROSS BLUE SHIELD
PA
01
—
C30051
HEALTH AMERICA
PA
Enumeration date
05/31/2005
Last updated
02/13/2014
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