Sullivan, Matthew
Sullivan, Matthew is an sole proprietor health care provider with primary practice located at 1935 Warner Ave , Santa Fe NM 87505-5452. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sullivan, Matthew can be contacted via phone (505) 906-6683.Contact Information
Primary practice address
1935 Warner Ave
Santa Fe NM 87505-5452
Phone: (505) 906-6683
Fax: (505) 421-0271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PTL.0014097 | Colorado |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5279 | New Mexico |
Profile Details
| NPI number | 1619329703 |
|---|---|
| LBN Legal business name | Sullivan, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2016 |
| Last updated | Apr 7th, 2022 - about 4 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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