Sullivan, Michael J.
Sullivan, Michael J. is an individual health care provider with primary practice located at 600 N Cotner Blvd Suite 208, Lincoln NE 68505-2343. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sullivan, Michael J. can be contacted via phone (402) 464-5969.Contact Information
Primary practice address
600 N Cotner Blvd Suite 208
Lincoln NE 68505-2343
Phone: (402) 464-5969
Fax: (402) 464-3657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17866 | Nebraska |
Profile Details
| NPI number | 1144282096 |
|---|---|
| LBN Legal business name | Sullivan, Michael J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Nov 7th, 2012 - about 12 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 | 1144282096 | NPPES |
| Nebraska | MEDICAID | 47060801513 |
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