Bruce Wayne Sullivan in Gulfport - Professional
Bruce Wayne Sullivan - NPI 1508836537
Bruce Wayne Sullivan is a Professional in Gulfport, Mississippi. Bruce Wayne Sullivan practices all healthcare services and medical treatments related to Professional. The NPI Number for Bruce Wayne Sullivan is 1508836537. The last update date is 2007-07-08.
Bruce Wayne Sullivan's current location address is 450 E Pass Rd, Gulfport, Mississippi. You can contact this provider via phone number 2286040099 and fax number 2286042001. The mailing address for Bruce Wayne Sullivan is 450 E Pass Rd, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bruce Wayne Sullivan |
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Address | 450 E Pass Rd, Gulfport, Mississippi |
Phone Number | 2286040099 |
Fax Number | 2286042001 |
Sole Proprietor | Y |
Credentials | LPC |
NPI Number Detail
NPI Number | 1508836537 |
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Provider Enumeration Date | 2006-01-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 450 E Pass Rd |
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City | Gulfport |
State | Mississippi (MS) |
Post Code | 395073212 |
Phone Number | 2286040099 |
Fax Number | 2286042001 |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Licence No | 727 |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
LPC | MS | MENTAL HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce Wayne Sullivan by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce Wayne Sullivan has been assigned the NPI (National Provider Identifier) 1508836537. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Bruce Wayne Sullivan's facilities are geographically located?
The facilities of Bruce Wayne Sullivan are physically situated at the following location: 450 E Pass Rd, Gulfport, MS, 395073212.
What is the area of specialization for Bruce Wayne Sullivan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce Wayne Sullivan is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.
On what date did Bruce Wayne Sullivan receive its 1508836537 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Wayne Sullivan was assigned its 1508836537 on 2006-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Bruce Wayne Sullivan's details last updated?
The information pertaining to the Bruce Wayne Sullivan, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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