Joan Marie Sullivan in Grand Rapids - Physician Assistant
Joan Marie Sullivan - NPI 1043393150
Joan Marie Sullivan is a Physician Assistant in Grand Rapids, Michigan. Joan Marie Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Joan Marie Sullivan is 1043393150. The last update date is 2023-05-23.
Joan Marie Sullivan's current location address is 1900 Wealthy St Se Ste 300, Grand Rapids, Michigan. You can contact this provider via phone number 6167748345. The mailing address for Joan Marie Sullivan is 1900 Wealthy St Se Ste 300, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Marie Sullivan |
|---|---|
| Address | 1900 Wealthy St Se Ste 300, Grand Rapids, Michigan |
| Phone Number | 6167748345 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1043393150 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2023-05-23 |
Provider Mailing Address Detail
| Address | 1900 Wealthy St Se Ste 300 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495062969 |
| Phone Number | 6167748345 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003370 |
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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 Joan Marie Sullivan's unique identification number?
The Joan Marie Sullivan has been assigned the NPI (National Provider Identifier) Number 1043393150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Joan Marie Sullivan is geographically located?
The Joan Marie Sullivan is physically situated at the following location: 1900 Wealthy St Se Ste 300, Grand Rapids, MI, 495062969.
What is the area of specialization for Joan Marie Sullivan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Joan Marie Sullivan is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Joan Marie Sullivan receive its 1043393150 assignment from the Centers for Medicare & Medicaid Services?
The Joan Marie Sullivan was assigned its 1043393150 by the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information pertaining to Joan Marie Sullivan most recently updated or revised?
The details related to Joan Marie Sullivan, including its address, specialty, and other relevant information, were last updated or revised on 2023-05-23.
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