Sullivan, Thomas Andrew

Sullivan, Thomas Andrew is an individual health care provider with primary practice located at 2223 Lime Kiln Rd Suite 1, Green Bay WI 54311-6213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sullivan, Thomas Andrew can be contacted via phone (920) 430-8120.

Contact Information

Primary practice address
2223 Lime Kiln Rd Suite 1 Green Bay WI 54311-6213
Phone: (920) 430-8120
Fax: (920) 430-8122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 44603 Wisconsin

Profile Details

NPI number 1114004181
LBN Legal business name Sullivan, Thomas Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 10th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114004181 NPPES
Wisconsin MEDICAID 34213200

Popular Providers