Sullivan, Brett Michael
Sullivan, Brett Michael is an sole proprietor health care provider with primary practice located at 2428 Ne Wasco St , Portland OR 97232. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Sullivan, Brett Michael can be contacted via phone (541) 301-3818.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2007019263 | Missouri |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D9737 | Oregon |
Profile Details
| NPI number | 1629268966 |
|---|---|
| LBN Legal business name | Sullivan, Brett Michael |
| Credentials | D.M.D., M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Jun 8th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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