Sullivan, Michael

Sullivan, Michael is an individual health care provider with primary practice located at 517 W Grace St , Richmond VA 23220-4911. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Sullivan, Michael can be contacted via phone (804) 783-2505.

Contact Information

Primary practice address
517 W Grace St Richmond VA 23220-4911
Phone: (804) 783-2505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024172854 Virginia

Profile Details

NPI number 1740650167
LBN Legal business name Sullivan, Michael
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2015
Last updated Sep 28th, 2015 - about 11 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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