NPI 1225536329
Benjamin Sullivan
Practice location
- Address
- 11 Hills Beach Rd, Biddeford, ME 04005-9526
- Phone
- (716) 580-0705
- Mailing address
- 210 Oehman Blvd, Cheektowaga, NY 14225-1643
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Athletic Trainer
Registry record
- NPI
- 1225536329
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jan 2018
- Record last updated
- 24 Jan 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.