Individual
MICHAEL K SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
17 SAYLES AVE, LINCOLN, RI 02865-2133
(401) 617-1457
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4657
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2019
Last updated
05/31/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us