Sullivan, Michelle

Sullivan, Michelle is an individual health care provider with primary practice located at 450 Syndicate St N , Saint Paul MN 55104-4107. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Sullivan, Michelle can be contacted via phone (763) 689-5385.

Contact Information

Primary practice address
450 Syndicate St N Saint Paul MN 55104-4107
Phone: (763) 689-5385
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5227 Minnesota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 527 Wisconsin

Profile Details

NPI number 1134200736
LBN Legal business name Sullivan, Michelle
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 9th, 2007 - about 19 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 1134200736 NPPES
Minnesota Other 4600797 MEDICA
Minnesota Other 481T6SU MEDICA
Minnesota Other HP48149 MEDICA

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