Sullivan, Michael Andrew
Sullivan, Michael Andrew is an sole proprietor health care provider with primary practice located at 5115 Bernard Dr Ste 201 , Roanoke VA 24018-4367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sullivan, Michael Andrew can be contacted via phone (540) 345-0289.Contact Information
Primary practice address
5115 Bernard Dr Ste 201
Roanoke VA 24018-4367
Phone: (540) 345-0289
Fax: (540) 345-9569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0101238572 | Virginia |
Profile Details
| NPI number | 1689654899 |
|---|---|
| LBN Legal business name | Sullivan, Michael Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Mar 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689654899 | NPPES |
| West Virginia | MEDICAID | 1689654899 | |
| West Virginia | MEDICAID | 1689654899 |
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