Sullivan, Matthew Daley
Sullivan, Matthew Daley is an individual health care provider with primary practice located at 830 Oak St 125E, Brockton MA 02301-1168. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sullivan, Matthew Daley can be contacted via phone (508) 588-1505.Contact Information
Primary practice address
830 Oak St 125E
Brockton MA 02301-1168
Phone: (508) 588-1505
Fax: (508) 588-1508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1141 | Massachusetts |
Profile Details
| NPI number | 1700884913 |
|---|---|
| LBN Legal business name | Sullivan, Matthew Daley |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jun 26th, 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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