Sullivan, Daniel Joseph

Sullivan, Daniel Joseph is an individual health care provider with primary practice located at 1739 Beverly Ave Suite 107, Kingman AZ 86409-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Sullivan, Daniel Joseph can be contacted via phone (928) 681-8565.

Contact Information

Primary practice address
1739 Beverly Ave Suite 107 Kingman AZ 86409-3593
Phone: (928) 681-8565
Fax: (928) 681-8564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 35063476S Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 38140 Arizona

Profile Details

NPI number 1801895834
LBN Legal business name Sullivan, Daniel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Oct 6th, 2008 - about 18 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 1801895834 NPPES
Arizona MEDICAID 321301

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