Jonathon Sullivan in Detroit - Emergency Medicine
Jonathon Sullivan - NPI 1679594394
Jonathon Sullivan is a Emergency Medicine in Detroit, Michigan. Jonathon Sullivan practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Jonathon Sullivan is 1679594394. The last update date is 2010-06-17.
Jonathon Sullivan's current location address is 4201 Saint Antoine St, Detroit, Michigan. You can contact this provider via phone number 3137453000. The mailing address for Jonathon Sullivan is 4201 Saint Antoine St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathon Sullivan |
|---|---|
| Address | 4201 Saint Antoine St, Detroit, Michigan |
| Phone Number | 3137453000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679594394 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2010-06-17 |
Provider Mailing Address Detail
| Address | 4201 Saint Antoine St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012153 |
| Phone Number | 3137453000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 4301060244 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JS060244 | MI | BC/BS OF MICHGIAN | |
| 104783832 | MI | -- | |
| 103159455 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jonathon Sullivan?
The Jonathon Sullivan has been issued the NPI (National Provider Identifier) 1679594394 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jonathon Sullivan?
The Jonathon Sullivan is physically situated at 4201 Saint Antoine St, in the city of Detroit, state of MI, with the postal code 482012153.
What is Jonathon Sullivan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jonathon Sullivan's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.
On what date did the Jonathon Sullivan receive the assignment of its 1679594394 from the Centers for Medicare & Medicaid Services?
The Jonathon Sullivan was issued its 1679594394 by the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date were the details related to Jonathon Sullivan most recently updated or revised?
The information pertaining to Jonathon Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-17.