Sullivan, Brian M.

Sullivan, Brian M. is an individual health care provider with primary practice located at 2702 8Th Ave N , Billings MT 59101-1107. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Sullivan, Brian M. can be contacted via phone (406) 238-2500.

Contact Information

Primary practice address
2702 8Th Ave N Billings MT 59101-1107
Phone: (406) 238-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 209 Montana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MED-PAC-LIC-209 Montana

Profile Details

NPI number 1154400562
LBN Legal business name Sullivan, Brian M.
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2006
Last updated Dec 14th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154400562 NPPES
Wyoming Other 122978800 MDCD PIN
Wyoming Other 000092473 MDCD PIN
Wyoming Other 0434146 MDCD PIN

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