Sandra Jane Sullivan in Mesquite - Chiropractor

Sandra Jane Sullivan - NPI 1457468241

Sandra Jane Sullivan is a Chiropractor in Mesquite, Texas. Sandra Jane Sullivan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Sandra Jane Sullivan is 1457468241. The last update date is 2008-09-16.

Sandra Jane Sullivan's current location address is 2929 N Galloway Ave, Mesquite, Texas. You can contact this provider via phone number 9722705700 and fax number 9722700047. The mailing address for Sandra Jane Sullivan is 2929 N Galloway Ave, Mesquite, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra Jane Sullivan
Address 2929 N Galloway Ave, Mesquite, Texas
Phone Number 9722705700
Fax Number 9722700047
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1457468241
Provider Enumeration Date 2006-08-25
Last Updated Date 2008-09-16

Provider Mailing Address Detail

Address 2929 N Galloway Ave
City Mesquite
State Texas (TX)
Post Code 751506364
Phone Number 9722705700
Fax Number 9722700047

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 6121
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
606007 TX BCBS PROVIDER #

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FAQs about Sandra Jane Sullivan

What is the unique 10-digit identification code assigned to Sandra Jane Sullivan by the Centers for Medicare & Medicaid Services?

The Sandra Jane Sullivan has been issued the NPI (National Provider Identifier) 1457468241, which 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 Sandra Jane Sullivan's facilities are situated?

The facilities of Sandra Jane Sullivan are physically located at the following address: 2929 N Galloway Ave, Mesquite, TX, 751506364.

What is the Sandra Jane Sullivan's specialty and taxonomy code?

The Sandra Jane Sullivan's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did Sandra Jane Sullivan receive its 1457468241 assignment from the Centers for Medicare & Medicaid Services?

The Sandra Jane Sullivan was assigned its 1457468241 on 2006-08-25, 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 related to Sandra Jane Sullivan most recently updated or revised?

The information pertaining to Sandra Jane Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-16.

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