Sullivan, Daniel J.

Sullivan, Daniel J. is an sole proprietor health care provider with primary practice located at 34 Hennessey Avenue , Brunswick ME 04011-0000. 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, Daniel J. can be contacted via phone (207) 725-7578.

Contact Information

Primary practice address
34 Hennessey Avenue Brunswick ME 04011-0000
Phone: (207) 725-7578
Fax: (207) 725-7549
Website:
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Health care specialties

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

Profile Details

NPI number 1164565263
LBN Legal business name Sullivan, Daniel J.
Credentials PT, CFP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 30th, 2013 - about 13 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 1164565263 NPPES
Maine Other 039097 ANTHEM/BCBS
Maine MEDICAID 281020099 ANTHEM/BCBS

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