Sullivan, Michael Daniel

Sullivan, Michael Daniel is an sole proprietor health care provider with primary practice located at 208 N 5Th St Suite C, Norfolk NE 68701-4155. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Sullivan, Michael Daniel can be contacted via phone (402) 750-7923.

Contact Information

Primary practice address
208 N 5Th St Suite C Norfolk NE 68701-4155
Phone: (402) 750-7923
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1464 Nebraska

Profile Details

NPI number 1063548139
LBN Legal business name Sullivan, Michael Daniel
Credentials LICSW, CDGC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2007
Last updated Jan 12th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063548139 NPPES
Nebraska Other 077785 VALUE OPTIONS
Nebraska Other 299363000 VALUE OPTIONS
Nebraska Other 082537 VALUE OPTIONS
Nebraska Other 8721 VALUE OPTIONS

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