Sullivan, Connor William

Sullivan, Connor William is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Sullivan, Connor William can be contacted via phone (414) 805-7400.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-7400
Fax: (414) 805-7388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 75730-20 Wisconsin
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 75730-20 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 75730-20 Wisconsin

Profile Details

NPI number 1629463872
LBN Legal business name Sullivan, Connor William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2015
Last updated Jan 10th, 2022 - about 2 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 1629463872 NPPES
Wisconsin MEDICAID 1629463872

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