Sullivan, Martin J
Sullivan, Martin J is an individual health care provider with primary practice located at 50 Hospital Dr Suite 3B2, Hendersonville NC 28792-5248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sullivan, Martin J can be contacted via phone (828) 687-0088.Contact Information
Primary practice address
50 Hospital Dr Suite 3B2
Hendersonville NC 28792-5248
Phone: (828) 687-0088
Fax: (828) 684-6693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 45065 | Tennessee |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2003000087 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 29044 | North Carolina |
Profile Details
| NPI number | 1992817126 |
|---|---|
| LBN Legal business name | Sullivan, Martin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Apr 1st, 2021 - about 3 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 | 1992817126 | NPPES |
| Tennessee | MEDICAID | 1514006 | |
| Tennessee | MEDICAID | 203715016 | |
| Tennessee | Other | 4230692 | |
| Tennessee | Other | 10001627200 |
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