Gerard Edward Sullivan in University Place - Chiropractor
Gerard Edward Sullivan - NPI 1942205828
Gerard Edward Sullivan is a Chiropractor in University Place, Washington. Gerard Edward Sullivan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gerard Edward Sullivan is 1942205828. The last update date is 2007-07-08.
Gerard Edward Sullivan's current location address is 4401 Bridgeport Way W, University Place, Washington. You can contact this provider via phone number 2535649424 and fax number 2535649721. The mailing address for Gerard Edward Sullivan is 4401 Bridgeport Way W, University Place, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerard Edward Sullivan |
|---|---|
| Address | 4401 Bridgeport Way W, University Place, Washington |
| Phone Number | 2535649424 |
| Fax Number | 2535649721 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1942205828 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4401 Bridgeport Way W |
|---|---|
| City | University Place |
| State | Washington (WA) |
| Post Code | 9846642010 |
| Phone Number | 2535649424 |
| Fax Number | 2535649721 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00001104 |
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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 identification code assigned to Gerard Edward Sullivan by the Centers for Medicare & Medicaid Services?
The Gerard Edward Sullivan has been issued the NPI (National Provider Identifier) 1942205828. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gerard Edward Sullivan's facilities are situated?
The facilities of Gerard Edward Sullivan are physically located at the following address: 4401 Bridgeport Way W, University Place, WA, 9846642010.
What is Gerard Edward Sullivan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gerard Edward Sullivan's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did Gerard Edward Sullivan receive its 1942205828 assignment from the Centers for Medicare & Medicaid Services?
The Gerard Edward Sullivan was assigned its 1942205828 on 2005-06-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Gerard Edward Sullivan last refreshed?
The information related to the Gerard Edward Sullivan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY