Sullivan, Michael John
Sullivan, Michael John is an individual health care provider with primary practice located at 378 W Olive Ave # C, Merced CA 95348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sullivan, Michael John can be contacted via phone (209) 726-0944.Contact Information
Primary practice address
378 W Olive Ave # C
Merced CA 95348
Phone: (209) 726-0944
Fax: (209) 726-1001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A22668 | California |
Profile Details
| NPI number | 1851407761 |
|---|---|
| LBN Legal business name | Sullivan, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1851407761 | NPPES |
| California | MEDICAID | 00A226680 |
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