Craig P Sullivan in La Crosse - Primary Podiatric Medicine
Craig P Sullivan - NPI 1700881182
Craig P Sullivan is a Primary Podiatric Medicine in La Crosse, Wisconsin. Craig P Sullivan practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Craig P Sullivan is 1700881182. The last update date is 2015-06-04.
Craig P Sullivan's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Craig P Sullivan is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig P Sullivan |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1700881182 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2015-06-04 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 5460154290 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 628 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43212300 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Craig P Sullivan?
The Craig P Sullivan has been issued the NPI (National Provider Identifier) 1700881182 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Craig P Sullivan is physically located?
The Craig P Sullivan is physically situated at the following address: 1836 South Ave, La Crosse, WI, 5460154290.
What is Craig P Sullivan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Craig P Sullivan is Primary Podiatric Medicine, and the corresponding taxonomy classification code for this specialized field is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700881182 to Craig P Sullivan?
The Centers for Medicare & Medicaid Services assigned the 1700881182 to Craig P Sullivan on 2005-06-14.
When was the information pertaining to Craig P Sullivan most recently updated or revised?
The details related to Craig P Sullivan, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-04.
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