Sullivan, Mark Ford

Sullivan, Mark Ford is an individual health care provider with primary practice located at 6128 Brandon Ave Ste 201 , Springfield VA 22150-2693. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sullivan, Mark Ford can be contacted via phone (571) 359-4000.

Contact Information

Primary practice address
6128 Brandon Ave Ste 201 Springfield VA 22150-2693
Phone: (571) 359-4000
Fax: (703) 621-3793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 291511-1 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101264845 Virginia

Profile Details

NPI number 1346669660
LBN Legal business name Sullivan, Mark Ford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Jan 13th, 2020 - 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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