Sullivan, Charles L

Sullivan, Charles L is an individual health care provider with primary practice located at 2360 Mullan Rd Suite C., Missoula MT 59808-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Sullivan, Charles L can be contacted via phone (406) 721-4436.

Contact Information

Primary practice address
2360 Mullan Rd Suite C. Missoula MT 59808-1811
Phone: (406) 721-4436
Fax: (406) 721-6053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 12035 Montana

Profile Details

NPI number 1619929635
LBN Legal business name Sullivan, Charles L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 2nd, 2011 - about 14 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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