Terrence Jerald Sullivan in Calimesa - Chiropractor
Terrence Jerald Sullivan - NPI 1689604407
Terrence Jerald Sullivan is a Chiropractor in Calimesa, California. Terrence Jerald Sullivan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Terrence Jerald Sullivan is 1689604407. The last update date is 2007-07-08.
Terrence Jerald Sullivan's current location address is 1007 Calimesa Blvd, Calimesa, California. You can contact this provider via phone number 9097958984. The mailing address for Terrence Jerald Sullivan is 1007 Calimesa Blvd, Calimesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terrence Jerald Sullivan |
|---|---|
| Address | 1007 Calimesa Blvd, Calimesa, California |
| Phone Number | 9097958984 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1689604407 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1007 Calimesa Blvd |
|---|---|
| City | Calimesa |
| State | California (CA) |
| Post Code | 923201131 |
| Phone Number | 9097958984 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC24230 |
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Definition: 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 inte |
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What is the unique 10-digit identifier code issued to Terrence Jerald Sullivan by the Centers for Medicare & Medicaid Services?
The Terrence Jerald Sullivan has been assigned the NPI (National Provider Identifier) 1689604407 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Terrence Jerald Sullivan's facilities are geographically located?
The facilities of Terrence Jerald Sullivan are physically situated at the following location: 1007 Calimesa Blvd, Calimesa, CA, 923201131.
What is Terrence Jerald Sullivan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Terrence Jerald Sullivan is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Terrence Jerald Sullivan receive the assignment of its 1689604407 from the Centers for Medicare & Medicaid Services?
The Terrence Jerald Sullivan was issued its 1689604407 by the Centers for Medicare & Medicaid Services on 2006-07-04.
As of what date were the Terrence Jerald Sullivan's details last updated?
The information pertaining to the Terrence Jerald Sullivan, including its address, specialty, and other details, was most recently updated on 2007-07-08.