Sullivan, Michael William
Sullivan, Michael William is an sole proprietor health care provider with primary practice located at 16700 21 Mile Rd Suite 101, Macomb MI 48044-4887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sullivan, Michael William can be contacted via phone (586) 263-0320.Contact Information
Primary practice address
16700 21 Mile Rd Suite 101
Macomb MI 48044-4887
Phone: (586) 263-0320
Fax: (586) 263-1276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101007472 | Michigan |
Profile Details
| NPI number | 1164531042 |
|---|---|
| LBN Legal business name | Sullivan, Michael William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 13th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164531042 | NPPES |
| Michigan | Other | 0855010004 | BCBSM |
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