Individual provider · Type 1 NPI
Michael Douglas Sullivan, DC
Chiropractor · Charlotte, NC
NPI number
1194711804
Active
Practice location
2315 W Arbors Dr Ste 208A
Charlotte, NC 28262-2577
Fax (704) 547-1611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2832 (NC) |
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 1194711804
Michael Douglas Sullivan, DC's National Provider Identifier is 1194711804, issued on Sep 27, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 29, 2021.