Sullivan, Steven W
Sullivan, Steven W is an individual health care provider with primary practice located at 1600 Crain Hwy S Suite 401, Glen Burnie MD 21061-5577. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Sullivan, Steven W can be contacted via phone (410) 768-5050.Contact Information
Primary practice address
1600 Crain Hwy S Suite 401
Glen Burnie MD 21061-5577
Phone: (410) 768-5050
Fax: (410) 768-7830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | C0003015 | Maryland |
Profile Details
| NPI number | 1215106067 |
|---|---|
| LBN Legal business name | Sullivan, Steven W |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2008 |
| Last updated | Apr 15th, 2013 - about 12 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 | 1215106067 | NPPES |
| Maryland | Other | 246492 | JHHC |
| Maryland | Other | 9630991 | JHHC |
| Maryland | Other | 8738246 | JHHC |
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