Sullivan, Seth Montgomery

Sullivan, Seth Montgomery is an individual health care provider with primary practice located at 34 Maple St , Norwalk CT 06850-3815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sullivan, Seth Montgomery can be contacted via phone (203) 852-3045.

Contact Information

Primary practice address
34 Maple St Norwalk CT 06850-3815
Phone: (203) 852-3045
Fax: (203) 855-3589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 048044 Connecticut

Profile Details

NPI number 1750496048
LBN Legal business name Sullivan, Seth Montgomery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated May 25th, 2011 - about 13 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 1750496048 NPPES
Kansas MEDICAID 100457510A

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