Sullivan, Michelle Lynn

Sullivan, Michelle Lynn is an individual health care provider with primary practice located at 601 W Riverside Ave 140, Spokane WA 99201-0621. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Sullivan, Michelle Lynn can be contacted via phone (509) 624-2111.

Contact Information

Primary practice address
601 W Riverside Ave 140 Spokane WA 99201-0621
Phone: (509) 624-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X VA00052998 Washington

Profile Details

NPI number 1306097316
LBN Legal business name Sullivan, Michelle Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Oct 8th, 2008 - about 16 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 1306097316 NPPES
Washington MEDICAID 6028559

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