Sullivan, Miya Venetia
Sullivan, Miya Venetia is an sole proprietor health care provider with primary practice located at 3672 W Pine Mall Blvd Athletics, Saint Louis MO 63108-3304. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Sullivan, Miya Venetia can be contacted via phone (314) 977-7024.Contact Information
Primary practice address
3672 W Pine Mall Blvd Athletics
Saint Louis MO 63108-3304
Phone: (314) 977-7024
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2000170998 | Missouri |
Profile Details
NPI number | 1649488503 |
---|---|
LBN Legal business name | Sullivan, Miya Venetia |
Credentials | MS, ATC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 21st, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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