Sullivan, Michael

Sullivan, Michael is an individual health care provider with primary practice located at 12980 Bandera Rd , Helotes TX 78023-4098. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sullivan, Michael can be contacted via phone (210) 372-9600.

Contact Information

Primary practice address
12980 Bandera Rd Helotes TX 78023-4098
Phone: (210) 372-9600
Fax: (210) 362-9923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1161449 Texas

Profile Details

NPI number 1831107051
LBN Legal business name Sullivan, Michael
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1831107051 NPPES
Texas Other 8T4496 BLUE CROSS/SHIELD

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