Sean W Sullivan in Watervliet - Physical Medicine & Rehabilitation

Sean W Sullivan - NPI 1194762286

Sean W Sullivan is a Physical Medicine & Rehabilitation in Watervliet, Michigan. Sean W Sullivan practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Sean W Sullivan is 1194762286. The last update date is 2020-07-09.

Sean W Sullivan's current location address is 400 Medical Park Dr, Watervliet, Michigan. You can contact this provider via phone number 2694633600. The mailing address for Sean W Sullivan is 400 Medical Park Dr, Watervliet, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Sean W Sullivan
Address 400 Medical Park Dr, Watervliet, Michigan
Phone Number 2694633600
Fax Number
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1194762286
Provider Enumeration Date 2006-05-31
Last Updated Date 2020-07-09

Provider Mailing Address Detail

Address 400 Medical Park Dr
City Watervliet
State Michigan (MI)
Post Code 490989225
Phone Number 2694633600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No 5101014473
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4714970 MI --
4720636 MI --
SS014473 MI BLUE CROSS BLUE SHIELD

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FAQs about Sean W Sullivan

What is the Sean W Sullivan's unique identification number?

The Sean W Sullivan has been assigned the NPI (National Provider Identifier) Number 1194762286 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Sean W Sullivan is physically located?

The Sean W Sullivan is physically situated at the following address: 400 Medical Park Dr, Watervliet, MI, 490989225.

What is the Sean W Sullivan's area of specialization and corresponding taxonomy classification?

The Sean W Sullivan's specialty field is Physical Medicine & Rehabilitation, and it falls under the taxonomy code 208100000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1194762286 to Sean W Sullivan?

The Sean W Sullivan received its 1194762286 assignment from the Centers for Medicare & Medicaid Services on 2006-05-31.

As of what date were the details related to Sean W Sullivan most recently updated or revised?

The information pertaining to Sean W Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2020-07-09.

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