Sullivan, Dennis J

Sullivan, Dennis J is an individual health care provider with primary practice located at 55 Main St. Suite 2, Bridgton ME 04009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Sullivan, Dennis J can be contacted via phone (207) 647-3633.

Contact Information

Primary practice address
55 Main St. Suite 2 Bridgton ME 04009
Phone: (207) 647-3633
Fax: (207) 647-5633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 011964 Maine

Profile Details

NPI number 1497770853
LBN Legal business name Sullivan, Dennis J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 21st, 2022 - about 3 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 1497770853 NPPES
Maine MEDICAID 105900000

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