Sullivan, Patrick Sean

Sullivan, Patrick Sean is an individual health care provider with primary practice located at 1364 Clifton Rd Ne , Atlanta GA 30322-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Sullivan, Patrick Sean can be contacted via phone (404) 686-1000.

Contact Information

Primary practice address
1364 Clifton Rd Ne Atlanta GA 30322-0001
Phone: (404) 686-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 001510 Georgia
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 53485 Minnesota
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 104964 Minnesota

Profile Details

NPI number 1790969780
LBN Legal business name Sullivan, Patrick Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Aug 25th, 2011 - about 14 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 1790969780 NPPES
Minnesota MEDICAID ENROLLED

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