Sullivan, Michael J.

Sullivan, Michael J. is an individual health care provider with primary practice located at 112 S Jones Blvd , Las Vegas NV 89107-2614. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Sullivan, Michael J. can be contacted via phone (702) 838-7110.

Contact Information

Primary practice address
112 S Jones Blvd Las Vegas NV 89107-2614
Phone: (702) 838-7110
Fax: (702) 838-7112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA536 Nevada

Profile Details

NPI number 1821098104
LBN Legal business name Sullivan, Michael J.
Credentials M.S., P.A.-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Sep 30th, 2010 - about 16 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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