Individual provider · Type 1 NPI

Douglas E. Sullivan, DC

Chiropractor · Renton, WA

NPI number 1104045137 Active

Practice location

304 Main Ave S, 203
Renton, WA 98057-2758

Fax (206) 666-6213

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH00034393 (WA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1104045137

Douglas E. Sullivan, DC's National Provider Identifier is 1104045137, issued on Apr 25, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Renton, WA. The record was last updated on Sep 9, 2009.