Sullivan, Michael

Sullivan, Michael is an sole proprietor health care provider with primary practice located at 304 Grand Ave , Billings MT 59101. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sullivan, Michael can be contacted via phone (406) 245-4566.

Contact Information

Primary practice address
304 Grand Ave Billings MT 59101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 192 Montana

Profile Details

NPI number 1427240720
LBN Legal business name Sullivan, Michael
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2007
Last updated Jul 10th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427240720 NPPES
Montana MEDICAID 0501046
Montana Other 7082-0

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