Sullivan, Michael J

Sullivan, Michael J is an individual health care provider with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Sullivan, Michael J can be contacted via phone (803) 254-2394.

Contact Information

Primary practice address
2720 Sunset Blvd West Columbia SC 29169-4810
Phone: (803) 254-2394
Fax: (803) 254-7125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14120 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 14120 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 14120 South Carolina

Profile Details

NPI number 1427133453
LBN Legal business name Sullivan, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1427133453 NPPES
South Carolina Other 2001121 CCP
South Carolina MEDICAID 141206 CCP
South Carolina Other 4137845 CCP
South Carolina Other 141206 CCP
South Carolina Other 77891 CCP

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