Sullivan, Michelle P

Sullivan, Michelle P is an individual health care provider with primary practice located at 4700 North Las Vegas Boulevard Mike O'Callaghan Federal Medical Center, Nellis Air Force Base NV 89191-6601. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Sullivan, Michelle P can be contacted via phone (702) 653-3455.

Contact Information

Primary practice address
4700 North Las Vegas Boulevard Mike O'Callaghan Federal Medical Center Nellis Air Force Base NV 89191-6601
Phone: (702) 653-3455
Fax: (702) 653-3398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X CW014390 Pennsylvania

Profile Details

NPI number 1134110760
LBN Legal business name Sullivan, Michelle P
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 10th, 2014 - 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 1134110760 NPPES
Pennsylvania Other SU 763420 HIGHMARK

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