Brian Edward Sullivan in Barrington - Chiropractor

Brian Edward Sullivan - NPI 1104977040

Brian Edward Sullivan is a Chiropractor in Barrington, Rhode Island. Brian Edward Sullivan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brian Edward Sullivan is 1104977040. The last update date is 2007-07-08.

Brian Edward Sullivan's current location address is 20 Bosworth St, Barrington, Rhode Island. You can contact this provider via phone number 4012472991 and fax number 4012457510. The mailing address for Brian Edward Sullivan is 20 Bosworth St, Barrington, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Edward Sullivan
Address 20 Bosworth St, Barrington, Rhode Island
Phone Number 4012472991
Fax Number 4012457510
Sole Proprietor N
Credentials D.C

NPI Number Detail

NPI Number 1104977040
Provider Enumeration Date 2007-01-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 20 Bosworth St
City Barrington
State Rhode Island (RI)
Post Code 28064105
Phone Number 4012472991
Fax Number 4012457510

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DCP00529
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30918-7 RI BCBS OF RI
413057 RI BLUE CHIP

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FAQs about Brian Edward Sullivan

What is the unique 10-digit identification code issued to Brian Edward Sullivan by the Centers for Medicare & Medicaid Services?

The Brian Edward Sullivan has been assigned the NPI (National Provider Identifier) 1104977040 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Brian Edward Sullivan located?

The Brian Edward Sullivan is located at 20 Bosworth St, Barrington, RI 28064105.

What is Brian Edward Sullivan's area of expertise and its corresponding taxonomy classification?

The Brian Edward Sullivan's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104977040 to Brian Edward Sullivan?

The Centers for Medicare & Medicaid Services originally issued the 1104977040 to Brian Edward Sullivan on 2007-01-16.

When was the information regarding Brian Edward Sullivan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Brian Edward Sullivan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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