Sullivan, Cort Patrick

Sullivan, Cort Patrick is an individual health care provider with primary practice located at 6785 W 38Th Ave , Wheat Ridge CO 80033. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sullivan, Cort Patrick can be contacted via phone (303) 425-5903.

Contact Information

Primary practice address
6785 W 38Th Ave Wheat Ridge CO 80033
Phone: (303) 425-5903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 105643 Colorado

Profile Details

NPI number 1275661886
LBN Legal business name Sullivan, Cort Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 9th, 2007 - about 18 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 1275661886 NPPES
Colorado MEDICAID 133046

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