Sullivan, Michael W.
Sullivan, Michael W. is an individual health care provider with primary practice located at 999 S. Washington Avenue Suite #2, Saginaw MI 48601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Sullivan, Michael W. can be contacted via phone (989) 790-1001.Contact Information
Primary practice address
999 S. Washington Avenue Suite #2
Saginaw MI 48601
Phone: (989) 790-1001
Fax: (989) 790-1002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 4301074324 | Michigan |
Profile Details
| NPI number | 1306839451 |
|---|---|
| LBN Legal business name | Sullivan, Michael W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 6th, 2009 - about 15 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 | 1306839451 | NPPES |
| Michigan | MEDICAID | 4114251 |
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