Misha Sullivan in Manchester - Physician Assistant
Misha Sullivan - NPI 1760519698
Misha Sullivan is a Physician Assistant in Manchester, New Hampshire. Misha Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Misha Sullivan is 1760519698. The last update date is 2011-09-30.
Misha Sullivan's current location address is 185 Queen City Ave, Manchester, New Hampshire. You can contact this provider via phone number 6036251655 and fax number 6036264686. The mailing address for Misha Sullivan is 185 Queen City Ave, Manchester, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misha Sullivan |
|---|---|
| Address | 185 Queen City Ave, Manchester, New Hampshire |
| Phone Number | 6036251655 |
| Fax Number | 6036264686 |
| Sole Proprietor | N |
| Credentials | PA-C, ATC |
NPI Number Detail
| NPI Number | 1760519698 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2011-09-30 |
Provider Mailing Address Detail
| Address | 185 Queen City Ave |
|---|---|
| City | Manchester |
| State | New Hampshire (NH) |
| Post Code | 31017121 |
| Phone Number | 6036251655 |
| Fax Number | 6036264686 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 845 |
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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 unique 10-digit identification code issued to Misha Sullivan by the Centers for Medicare & Medicaid Services?
The Misha Sullivan has been assigned the NPI (National Provider Identifier) 1760519698 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Misha Sullivan is geographically located?
The Misha Sullivan is physically situated at the following location: 185 Queen City Ave, Manchester, NH, 31017121.
What is Misha Sullivan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Misha Sullivan is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Misha Sullivan receive the assignment of its 1760519698 from the Centers for Medicare & Medicaid Services?
The Misha Sullivan was issued its 1760519698 by the Centers for Medicare & Medicaid Services on 2007-02-27.
As of what date were the details related to Misha Sullivan most recently updated or revised?
The information pertaining to Misha Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-30.
NPI Number: 1932102142
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