Sullivan, Mary

Sullivan, Mary is an individual health care provider with primary practice located at 8001 Angling Road , Portage MI 49024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sullivan, Mary can be contacted via phone (269) 329-0944.

Contact Information

Primary practice address
8001 Angling Road Portage MI 49024
Phone: (269) 329-0944
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704209403 Michigan

Profile Details

NPI number 1275627713
LBN Legal business name Sullivan, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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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