person
Mr. John Michael Sullivan III, BA
Student in an Organized Health Care Education/Training Program in Lafayette, Colorado
NPI 1134840655

John Michael Sullivan III is a Student in an Organized Health Care Education/Training Program based in Lafayette, CO. John Michael Sullivan III practices in Lafayette, CO and has the professional credentials of BA. The NPI Number for John Michael Sullivan III is 1134840655 and holds a License No. (Colorado).

The current practice location address for John Michael Sullivan III is 1455 Dixon Ave, Lafayette, CO and can be reached out via phone at 303-443-8500.

Location: 1455 Dixon Ave, Lafayette, CO, 80026-8879
person
Provider Profile Details
NPI Number
1134840655
Provider Name
John Michael Sullivan III
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
1455 Dixon Ave, Lafayette, CO, 80026-8879
Phone Number
303-443-8500
Fax Number
Provider Enumeration Date
09/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1455 Dixon Ave
City
State
Zip
80026-8879
Phone Number
303-443-8500
Fax Number
person
Provider Business Mailing Address Details
Address
1455 Dixon Ave
City
State
Zip
80026-8879
Phone Number
303-443-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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