Sullivan, Matthew Patrick
Sullivan, Matthew Patrick is an sole proprietor health care provider with primary practice located at 100 Brewster Blvd Naval Hospital, Camp Lejeune NC 28547-2538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sullivan, Matthew Patrick can be contacted via phone (910) 450-4159.Contact Information
Primary practice address
100 Brewster Blvd Naval Hospital
Camp Lejeune NC 28547-2538
Phone: (910) 450-4159
Fax: (910) 450-4194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 200100611 | North Carolina |
Profile Details
| NPI number | 1003879008 |
|---|---|
| LBN Legal business name | Sullivan, Matthew Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jan 28th, 2013 - about 11 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 | 1003879008 | NPPES |
| North Carolina | MEDICAID | 8912937 |
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