Sullivan, Patrick
Sullivan, Patrick is an sole proprietor health care provider with primary practice located at 100 Silver Bluff Dr , Canton NC 28716-6350. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Sullivan, Patrick can be contacted via phone (828) 648-2044.Contact Information
Primary practice address
100 Silver Bluff Dr
Canton NC 28716-6350
Phone: (828) 648-2044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 5883 | North Carolina |
Profile Details
| NPI number | 1932659612 |
|---|---|
| LBN Legal business name | Sullivan, Patrick |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2016 |
| Last updated | Oct 6th, 2016 - about 9 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 | 1932659612 | NPPES |
| North Carolina | MEDICAID | 225200000X |
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