Sullivan, Michael

Sullivan, Michael is an individual health care provider with primary practice located at 1500 E Duarte Rd , Duarte CA 91010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Sullivan, Michael can be contacted via phone (626) 359-8111.

Contact Information

Primary practice address
1500 E Duarte Rd Duarte CA 91010
Phone: (626) 359-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G73318 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G73318 California

Profile Details

NPI number 1598722381
LBN Legal business name Sullivan, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 13th, 2020 - about 4 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 1598722381 NPPES
California MEDICAID 00G733180

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