Sullivan, Steve Edward
Sullivan, Steve Edward is an individual health care provider with primary practice located at 11143 Parkview Plaza Dr Ste 100 , Fort Wayne IN 46845-1728. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sullivan, Steve Edward can be contacted via phone (260) 266-7400.Contact Information
Primary practice address
11143 Parkview Plaza Dr Ste 100
Fort Wayne IN 46845-1728
Phone: (260) 266-7400
Fax: (260) 266-7439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05006484A | Indiana |
Profile Details
| NPI number | 1447210505 |
|---|---|
| LBN Legal business name | Sullivan, Steve Edward |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Feb 25th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447210505 | NPPES |
| Indiana | Other | 000000197905 | ANTHEM PROVIDER NUMBER |
| Indiana | Other | 9397807 | ANTHEM PROVIDER NUMBER |
| Indiana | MEDICAID | 200259120 | ANTHEM PROVIDER NUMBER |
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