Sullivan, David Rolland

Sullivan, David Rolland is an sole proprietor health care provider with primary practice located at 17777 St Croix Trail North , Marine On St Croix MN 55047. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Sullivan, David Rolland can be contacted via phone (651) 433-5458.

Contact Information

Primary practice address
17777 St Croix Trail North Marine On St Croix MN 55047
Phone: (651) 433-5458
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 1288 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1396795365
LBN Legal business name Sullivan, David Rolland
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Jul 19th, 2019 - about 6 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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