Matthew Patrick Sullivan
Emergency Physician
100 Brewster Blvd Naval Hospital
Camp Lejeune
, North Carolina 28547-2538
Matthew Patrick Sullivan
Emergency Physician
100 Brewster Blvd Naval Hospital
Camp Lejeune
, North Carolina 28547-2538
(910) 450-4194
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Matthew Patrick Sullivan
- 100 Brewster Blvd Naval Hospital
- Camp Lejeune, NC
- Zip : 28547-2538
- Fax : (910) 450-4194
- Phone : (910) 450-4159
Second Address
- Matthew Patrick Sullivan
- 100 Brewster Blvd Naval Hospital
- Camp Lejeune, NC
- Zip : 28547-2538
- Fax : (910) 450-4194
- Phone : (910) 450-4159
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 200100611 | NC |
National Provider Identifier
| NPI | 1003879008 |
|---|---|
| Provider Name | Matthew Patrick Sullivan |
| First Address | Camp Lejeune, NC 28547-2538 |
| Second Address | Camp Lejeune, NC 28547-2538 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2006 |
| Last Update Date | 28/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8912937 | (05) | NC |
| G63180 | (02) | NC |
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.