Sullivan, Mark Stover
Sullivan, Mark Stover is an sole proprietor health care provider with primary practice located at 3366 Nw Expressway Suite 720, Oklahoma City OK 73112-4462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Sullivan, Mark Stover can be contacted via phone (405) 947-0676.Contact Information
Primary practice address
3366 Nw Expressway Suite 720
Oklahoma City OK 73112-4462
Phone: (405) 947-0676
Fax: (405) 945-4876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 8667 | Oklahoma |
Profile Details
| NPI number | 1073595377 |
|---|---|
| LBN Legal business name | Sullivan, Mark Stover |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Aug 8th, 2008 - about 16 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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