Sullivan, Jonathan M
Sullivan, Jonathan M is an sole proprietor health care provider with primary practice located at 11 Florida Park Dr N , Palm Coast FL 32137-3866. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sullivan, Jonathan M can be contacted via phone (386) 445-4734.Contact Information
Primary practice address
11 Florida Park Dr N
Palm Coast FL 32137-3866
Phone: (386) 445-4734
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 36003666 | Ohio |
Profile Details
| NPI number | 1528387958 |
|---|---|
| LBN Legal business name | Sullivan, Jonathan M |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2010 |
| Last updated | Mar 31st, 2021 - about 4 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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