Sullivan, Thomas S.
Sullivan, Thomas S. is an individual health care provider with primary practice located at 21230 Dequindre Rd , Warren MI 48091-2279. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nutrition Support. Pharmacy Service Providers / Nutrition Support is his primary health care specialty. Sullivan, Thomas S. can be contacted via phone (586) 880-2483.Contact Information
Primary practice address
21230 Dequindre Rd
Warren MI 48091-2279
Phone: (586) 880-2483
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 5302025761 | Michigan |
Pharmacy Service Providers / Nutrition Support | 1835N1003X | 5302025761 | Michigan |
Profile Details
NPI number | 1477547933 |
---|---|
LBN Legal business name | Sullivan, Thomas S. |
Credentials | M.S., R.PH., BCNSP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Apr 7th, 2022 - 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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