Sullivan, Liam R.

Sullivan, Liam R. is an individual health care provider with primary practice located at 230 Michigan St Ne Suite 230, Grand Rapids MI 49503-2550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Sullivan, Liam R. can be contacted via phone (616) 774-2822.

Contact Information

Primary practice address
230 Michigan St Ne Suite 230 Grand Rapids MI 49503-2550
Phone: (616) 774-2822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 5101017233 Michigan

Profile Details

NPI number 1619158359
LBN Legal business name Sullivan, Liam R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2007
Last updated Mar 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619158359 NPPES
Michigan MEDICAID 1619158359

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