Sullivan, Shane

Sullivan, Shane is an individual health care provider with primary practice located at 122 Windsor Ave Fl 2 , Meriden CT 06451-2900. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, which is considered as his primary health care specialty. Sullivan, Shane can be contacted via phone (860) 222-5332.

Contact Information

Primary practice address
122 Windsor Ave Fl 2 Meriden CT 06451-2900
Phone: (860) 222-5332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X

Profile Details

NPI number 1992220917
LBN Legal business name Sullivan, Shane
Credentials MT-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2017
Last updated Aug 10th, 2017 - about 7 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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