Individual provider · Type 1 NPI

John Michael Sullivan Iii, BA

Student in an Organized Health Care Education/Training Program · Lafayette, CO

NPI number 1134840655 Active

Practice location

1455 Dixon Ave
Lafayette, CO 80026-8879

Call (303) 443-8500 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1134840655

John Michael Sullivan Iii, BA's National Provider Identifier is 1134840655, issued on Sep 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lafayette, CO. The record was last updated on Sep 5, 2022.