Sullivan, Michael

Sullivan, Michael is an individual health care provider with primary practice located at 1330 Coshocton Ave , Mount Vernon OH 43050-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Sullivan, Michael can be contacted via phone (740) 393-9000.

Contact Information

Primary practice address
1330 Coshocton Ave Mount Vernon OH 43050-1440
Phone: (740) 393-9000
Fax: (740) 392-0167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-071450 Ohio

Profile Details

NPI number 1548269038
LBN Legal business name Sullivan, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 9th, 2021 - about 5 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 1548269038 NPPES
Ohio MEDICAID 0368516
Ohio Other 1342112
Ohio Other 00000019555

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