Mark Nicholas Sullivan in Hillsboro - Physical Therapist
Mark Nicholas Sullivan - NPI 1679653455
Mark Nicholas Sullivan is a Physical Therapist in Hillsboro, Wisconsin. Mark Nicholas Sullivan practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mark Nicholas Sullivan is 1679653455. The last update date is 2007-07-08.
Mark Nicholas Sullivan's current location address is 400 Water Ave, Hillsboro, Wisconsin. You can contact this provider via phone number 6084898260 and fax number 6084898193. The mailing address for Mark Nicholas Sullivan is 400 Water Ave, Hillsboro, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Nicholas Sullivan |
|---|---|
| Address | 400 Water Ave, Hillsboro, Wisconsin |
| Phone Number | 6084898260 |
| Fax Number | 6084898193 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1679653455 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 Water Ave |
|---|---|
| City | Hillsboro |
| State | Wisconsin (WI) |
| Post Code | 54634 |
| Phone Number | 6084898260 |
| Fax Number | 6084898193 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5549024 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5415000450861 | WI | DPI | |
| 40475300 | WI | -- |
Post Comment/ Review Below
What is the Mark Nicholas Sullivan's unique identification number?
The Mark Nicholas Sullivan has been assigned the NPI (National Provider Identifier) Number 1679653455 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mark Nicholas Sullivan?
The Mark Nicholas Sullivan is situated at 400 Water Ave, in the city of Hillsboro, state of WI, with the zip code 54634.
What is Mark Nicholas Sullivan's area of expertise and its corresponding taxonomy classification?
The Mark Nicholas Sullivan's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
When did Mark Nicholas Sullivan receive its 1679653455 assignment?
The Mark Nicholas Sullivan was assigned its 1679653455 on 2006-10-16, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Mark Nicholas Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Nicholas Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.