Sullivan, Daniel M

Sullivan, Daniel M is an individual health care provider with primary practice located at 75 Barclay Cir Ste 200, Rochester Hills MI 48307-4508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sullivan, Daniel M can be contacted via phone (248) 853-9177.

Contact Information

Primary practice address
75 Barclay Cir Ste 200 Rochester Hills MI 48307-4508
Fax: (248) 853-7258
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301063953 Michigan

Profile Details

NPI number 1750362000
LBN Legal business name Sullivan, Daniel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Mar 29th, 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 1750362000 NPPES
Michigan MEDICAID 4386959-10
Michigan MEDICAID 438695910

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