Sullivan, Mark Ashley
Sullivan, Mark Ashley is an sole proprietor health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3278. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Sullivan, Mark Ashley can be contacted via phone (321) 434-7000.Contact Information
Primary practice address
1350 Hickory St
Melbourne FL 32901-3278
Phone: (321) 434-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN9190840 | Florida |
Profile Details
| NPI number | 1194931964 |
|---|---|
| LBN Legal business name | Sullivan, Mark Ashley |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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