Sullivan, Michael Patrick

Sullivan, Michael Patrick is an individual health care provider with primary practice located at 1117 Spring St , Friday Harbor WA 98250-9782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sullivan, Michael Patrick can be contacted via phone (360) 378-2141.

Contact Information

Primary practice address
1117 Spring St Friday Harbor WA 98250-9782
Phone: (360) 378-2141
Fax: (360) 378-3655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00033030 Washington

Profile Details

NPI number 1922037548
LBN Legal business name Sullivan, Michael Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 30th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922037548 NPPES
Washington Other 7524SU BSWA
Washington MEDICAID 8182263 BSWA
Washington Other 0168205 BSWA
Washington Other 0302692 BSWA

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