Sullivan, Jordan
Sullivan, Jordan is an individual health care provider with primary practice located at 2301 N Lake Dr Podiatric Residency Office, Milwaukee WI 53211-4508. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sullivan, Jordan can be contacted via phone (402) 310-7374.Contact Information
Primary practice address
2301 N Lake Dr Podiatric Residency Office
Milwaukee WI 53211-4508
Phone: (402) 310-7374
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 18096 | Wisconsin |
Profile Details
| NPI number | 1255877643 |
|---|---|
| LBN Legal business name | Sullivan, Jordan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2017 |
| Last updated | Jan 10th, 2017 - about 9 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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