Sullivan, Shawn Christopher
Sullivan, Shawn Christopher is an individual health care provider with primary practice located at 512 Saybrook Rd , Middletown CT 06457-4788. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sullivan, Shawn Christopher can be contacted via phone (860) 343-5997.Contact Information
Primary practice address
512 Saybrook Rd
Middletown CT 06457-4788
Phone: (860) 343-5997
Fax: (860) 343-6042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT003689 | Kentucky |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT10441 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 006342 | Connecticut |
Profile Details
| NPI number | 1427137249 |
|---|---|
| LBN Legal business name | Sullivan, Shawn Christopher |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Nov 2nd, 2009 - about 15 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 | 1427137249 | NPPES |
| Connecticut | Other | 7691516 | AETNA |
| Connecticut | Other | 080006342CT01 | AETNA |
| Connecticut | Other | 3V1439 | AETNA |
| Connecticut | Other | 761899 | AETNA |
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