Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL SULLIVAN
ActiveMICHAEL SULLIVAN is a Orthotic Fitter healthcare provider located in CAPE GIRARDEAU, Missouri. NPI 1104215136 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · CAPE GIRARDEAU, MO
Registration Details
- NPI Number
- 1104215136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 14, 2015 (11.5448096089 yrs)
- Last Updated
- Jan 14, 2015
- License
-
20140118235 (MO)
Practice Information
- Address
-
137 FOUNDERS WAY CTCAPE GIRARDEAU, MO, 637019442Browse MO providers · Browse ZIP 63701
- Phone
- 5734508189
- Primary Specialty
-
Orthotic Fitter
242T00000X
Other Orthotic Fitter Providers in CAPE GIRARDEAU, MO
| Name | Credential | NPI |
|---|---|---|
| ERIN YOUNGSTROM | CCP | 1982358107 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.