Sullivan, Michael Leon

Sullivan, Michael Leon is an individual health care provider with primary practice located at 1707 W Elfindale St , Springfield MO 65807-1246. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Sullivan, Michael Leon can be contacted via phone (417) 831-2273.

Contact Information

Primary practice address
1707 W Elfindale St Springfield MO 65807-1246
Phone: (417) 831-2273
Fax: (417) 865-6876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 116911 Missouri

Profile Details

NPI number 1285987818
LBN Legal business name Sullivan, Michael Leon
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2012
Last updated Oct 19th, 2012 - about 13 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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