Individual
MARK NICHOLAS SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
400 WATER AVE, ST JOSEPHS REHAB DEPARTMENT, HILLSBORO, WI 54634
(608) 489-8260
(608) 489-8193
Mailing address
575 PINE AVE, HILLSBORO, WI 54634
(608) 489-2733
(608) 489-8193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5549024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40475300
—
WI
01
—
5415000450861
DPI
WI
Enumeration date
10/16/2006
Last updated
07/08/2007
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