Sullivan, Michael Daniel
Sullivan, Michael Daniel is an sole proprietor health care provider with primary practice located at 208 N 5Th St Suite C, Norfolk NE 68701-4155. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Sullivan, Michael Daniel can be contacted via phone (402) 750-7923.Contact Information
Primary practice address
208 N 5Th St Suite C
Norfolk NE 68701-4155
Phone: (402) 750-7923
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1464 | Nebraska |
Profile Details
NPI number | 1063548139 |
---|---|
LBN Legal business name | Sullivan, Michael Daniel |
Credentials | LICSW, CDGC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 25th, 2007 |
Last updated | Jan 12th, 2016 - about 8 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 | 1063548139 | NPPES |
Nebraska | Other | 077785 | VALUE OPTIONS |
Nebraska | Other | 299363000 | VALUE OPTIONS |
Nebraska | Other | 082537 | VALUE OPTIONS |
Nebraska | Other | 8721 | VALUE OPTIONS |
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