Dr. Charles W Sullivan
Family Doctor Neuromusculoskeletal Medicine (NMM)
98 Second St
Hallowell
, Maine 04347-1368
Dr. Charles W Sullivan
Family Doctor Neuromusculoskeletal Medicine (NMM)
98 Second St
Hallowell
, Maine 04347-1368
(617) 488-2237
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Charles W Sullivan
- 98 Second St
- Hallowell, ME
- Zip : 04347-1368
- Fax : (617) 488-2237
- Phone : (207) 649-2795
Second Address
- Dr. Charles W Sullivan
- 98 Second St
- Hallowell, ME
- Zip : 04347-1368
- Fax : (617) 488-2237
- Phone : (207) 649-2795
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FAQs
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Is Dr. Charles W Sullivan a sole practitioner?
Is Dr. Charles W Sullivan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 1048 | ME |
| N | 207Q00000X | Family Doctor | 1048 | ME |
National Provider Identifier
| NPI | 1003984311 |
|---|---|
| Provider Name | Dr. Charles W Sullivan |
| First Address | Hallowell, ME 04347-1368 |
| Second Address | Hallowell, ME 04347-1368 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 19/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 015219 | PTAN (01) | |
| 015555 | BCBS (01) | |
| 211750000 | (05) | ME |
| F09158 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.