Sullivan, Colten Briar

Sullivan, Colten Briar is an individual health care provider with primary practice located at 1019 Broad St , Durham NC 27705-4143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Sullivan, Colten Briar can be contacted via phone (919) 797-9588.

Contact Information

Primary practice address
1019 Broad St Durham NC 27705-4143
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X P18599 North Carolina

Profile Details

NPI number 1306303458
LBN Legal business name Sullivan, Colten Briar
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2019
Last updated Apr 18th, 2022 - about 4 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 1306303458 NPPES
North Carolina Other P18599 LICENSE NUMBER

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