Eugene Denis Sullivan in Clarkston - Physician Assistant
Eugene Denis Sullivan - NPI 1245208883
Eugene Denis Sullivan is a Physician Assistant in Clarkston, Michigan. Eugene Denis Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Eugene Denis Sullivan is 1245208883. The last update date is 2010-03-29.
Eugene Denis Sullivan's current location address is 5701 Bow Pointe Dr, Clarkston, Michigan. You can contact this provider via phone number 2486252621 and fax number 2486258938. The mailing address for Eugene Denis Sullivan is 5701 Bow Pointe Dr, Clarkston, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Denis Sullivan |
|---|---|
| Address | 5701 Bow Pointe Dr, Clarkston, Michigan |
| Phone Number | 2486252621 |
| Fax Number | 2486258938 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245208883 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2010-03-29 |
Provider Mailing Address Detail
| Address | 5701 Bow Pointe Dr |
|---|---|
| City | Clarkston |
| State | Michigan (MI) |
| Post Code | 483463198 |
| Phone Number | 2486252621 |
| Fax Number | 2486258938 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003867 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Eugene Denis Sullivan's unique identification number?
The Eugene Denis Sullivan has been assigned the NPI (National Provider Identifier) Number 1245208883 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Eugene Denis Sullivan's physical address?
The Eugene Denis Sullivan is physically located at 5701 Bow Pointe Dr, in the city of Clarkston, MI, with the postal code 483463198.
Could you please provide the complete street address where Eugene Denis Sullivan is physically located?
The Eugene Denis Sullivan is physically situated at the following address: 5701 Bow Pointe Dr, Clarkston, MI, 483463198.
When did the Eugene Denis Sullivan receive its 1245208883?
The Eugene Denis Sullivan was issued its 1245208883 on 2006-03-09, which is the date when the organization was assigned this unique identifier.
On what date did the Eugene Denis Sullivan receive its 1245208883 assignment from the Centers for Medicare & Medicaid Services?
The Eugene Denis Sullivan was assigned its 1245208883 by the Centers for Medicare & Medicaid Services on 2006-03-09.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL