Sullivan, Steve Edward

Sullivan, Steve Edward is an individual health care provider with primary practice located at 11143 Parkview Plaza Dr Ste 100 , Fort Wayne IN 46845-1728. 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, Steve Edward can be contacted via phone (260) 266-7400.

Contact Information

Primary practice address
11143 Parkview Plaza Dr Ste 100 Fort Wayne IN 46845-1728
Phone: (260) 266-7400
Fax: (260) 266-7439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05006484A Indiana

Profile Details

NPI number 1447210505
LBN Legal business name Sullivan, Steve Edward
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Feb 25th, 2021 - about 3 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 1447210505 NPPES
Indiana Other 000000197905 ANTHEM PROVIDER NUMBER
Indiana Other 9397807 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200259120 ANTHEM PROVIDER NUMBER

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