Sullivan, Martin
Sullivan, Martin is an sole proprietor health care provider with primary practice located at 41 Reckless Pl , Red Bank NJ 07701-1703. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Sullivan, Martin can be contacted via phone (732) 996-9072.Contact Information
Primary practice address
41 Reckless Pl
Red Bank NJ 07701-1703
Phone: (732) 996-9072
Fax: (732) 530-4534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00315100 | New Jersey |
Profile Details
| NPI number | 1861605156 |
|---|---|
| LBN Legal business name | Sullivan, Martin |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861605156 | NPPES |
| New Jersey | MEDICAID | 0043532 |
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