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Contact Information

BRIDGET SULLIVAN, ATC
4030 WELLMAN WAY
MILLER CENTER
WINSTON-SALEM, NC27109
 Phone: 336-758-4188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for BRIDGET SULLIVAN · (Female)

NPI # 1003345554
Status Active
Credentials ATC
Entity Individual
Enumeration date 06/08/2017
Last updated 10/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # LAT-4697
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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