Sullivan, Mark Allan
Sullivan, Mark Allan is an individual health care provider with primary practice located at 4196 Avery Rd , Hilliard OH 43026-1004. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sullivan, Mark Allan can be contacted via phone (614) 876-1111.Contact Information
Primary practice address
4196 Avery Rd
Hilliard OH 43026-1004
Phone: (614) 876-1111
Fax: (614) 876-5600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2612 | Ohio |
Profile Details
| NPI number | 1689730863 |
|---|---|
| LBN Legal business name | Sullivan, Mark Allan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689730863 | NPPES |
| Hawaii | MEDICAID | 2195735 |
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