Individual provider · Type 1 NPI

Terrence Jerald Sullivan, DC

Chiropractor · Calimesa, CA

NPI number 1689604407 Active

Practice location

1007 Calimesa Blvd, Suite F
Calimesa, CA 92320-1131

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC24230 (CA)

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 1689604407

Terrence Jerald Sullivan, DC's National Provider Identifier is 1689604407, issued on Jul 4, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Calimesa, CA. The record was last updated on Jul 8, 2007.