Sullivan, Colleen Michelle

Sullivan, Colleen Michelle is an individual health care provider with primary practice located at 5838 Metro Way Sw , Wyoming MI 49519-9619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Sullivan, Colleen Michelle can be contacted via phone (616) 249-5300.

Contact Information

Primary practice address
5838 Metro Way Sw Wyoming MI 49519-9619
Phone: (616) 249-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301109875 Michigan

Profile Details

NPI number 1265794010
LBN Legal business name Sullivan, Colleen Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2012
Last updated Oct 31st, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265794010 NPPES
Michigan MEDICAID 1265794010

Popular Providers