Sullivan, John Patrick
Sullivan, John Patrick is an individual health care provider with primary practice located at 850 W Baraga Ave , Marquette MI 49855-4550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sullivan, John Patrick can be contacted via phone (906) 449-3000.Contact Information
Primary practice address
850 W Baraga Ave
Marquette MI 49855-4550
Phone: (906) 449-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 39464 | Kentucky |
Profile Details
| NPI number | 1952368557 |
|---|---|
| LBN Legal business name | Sullivan, John Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Aug 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952368557 | NPPES |
| Kentucky | MEDICAID | 64098940 |
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