Sullivan, Keith Joseph

Sullivan, Keith Joseph is an individual health care provider with primary practice located at 2800 Chicago Ave Ste 200 , Minneapolis MN 55407-1353. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sullivan, Keith Joseph can be contacted via phone (612) 872-2700.

Contact Information

Primary practice address
2800 Chicago Ave Ste 200 Minneapolis MN 55407-1353
Phone: (612) 872-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4415 Minnesota

Profile Details

NPI number 1811957889
LBN Legal business name Sullivan, Keith Joseph
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Sep 24th, 2019 - about 6 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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