Sullivan, Toby Michael
Sullivan, Toby Michael is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy Emergency Department, Winston-Salem NC 27103-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sullivan, Toby Michael can be contacted via phone (336) 765-3928.Contact Information
Primary practice address
3333 Silas Creek Pkwy Emergency Department
Winston-Salem NC 27103-3013
Phone: (336) 765-3928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2005-00836 | North Carolina |
Profile Details
| NPI number | 1134104086 |
|---|---|
| LBN Legal business name | Sullivan, Toby Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Dec 9th, 2024 - about 2 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 | 1134104086 | NPPES |
| North Carolina | MEDICAID | 5900996 |
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