Sullivan, Michael W
Sullivan, Michael W is an sole proprietor health care provider with primary practice located at 601 Alameda St , Norman OK 73071-5455. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sullivan, Michael W can be contacted via phone (405) 447-5181.Contact Information
Primary practice address
601 Alameda St
Norman OK 73071-5455
Phone: (405) 447-5181
Fax: (405) 447-5182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3224 | Oklahoma |
Profile Details
| NPI number | 1932116746 |
|---|---|
| LBN Legal business name | Sullivan, Michael W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | May 15th, 2008 - about 17 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 | 1932116746 | NPPES |
| Oklahoma | MEDICAID | 100830210A |
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