Individual provider · Type 1 NPI
Timothy Paul Sullivan, DC
Chiropractor · Independence, MO
NPI number
1982019840
Active
Practice location
17000 E US Highway 40 Ste 7
Independence, MO 64055-5394
Mailing address
3506 Harvard Ave
Independence, MO 64052-2337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2014013450 (MO) |
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 1982019840
Timothy Paul Sullivan, DC's National Provider Identifier is 1982019840, issued on Jun 30, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Independence, MO. The record was last updated on Jun 30, 2014.