Sullivan, Justin J

Sullivan, Justin J is an individual health care provider with primary practice located at 123 Capcom Ave Ste 2 , Wake Forest NC 27587-6517. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sullivan, Justin J can be contacted via phone (919) 551-4142.

Contact Information

Primary practice address
123 Capcom Ave Ste 2 Wake Forest NC 27587-6517
Phone: (919) 551-4142
Fax: (919) 694-6417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X P13748 North Carolina

Profile Details

NPI number 1548525090
LBN Legal business name Sullivan, Justin J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Mar 3rd, 2021 - about 5 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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