Sullivan, Daniel L

Sullivan, Daniel L is an individual health care provider with primary practice located at 600 East Blvd , Elkhart IN 46514-2483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Sullivan, Daniel L can be contacted via phone (574) 523-3160.

Contact Information

Primary practice address
600 East Blvd Elkhart IN 46514-2483
Phone: (574) 523-3160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 100259050 Indiana

Profile Details

NPI number 1386612224
LBN Legal business name Sullivan, Daniel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 4th, 2016 - about 8 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 1386612224 NPPES
Indiana MEDICAID 100259050
Indiana MEDICAID 102668920
Indiana Other 000000082211
Indiana Other 010029958

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