# DR-DO-OMM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Renegade Osteopathy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558067538
- **Authorized official:** DR. JAMES C SULLIVAN DO (PHYSICIAN/ OWNER)
- **Authorized official phone:** (603) 341-9144

## Contact information

- **Practice address:** 292 ROUTE 101 UNIT F-1, AMHERST, NH 03031-1730
- **Practice address phone:** (603) 341-9144
- **Practice address fax:** (949) 864-3717
- **Mailing address:** 17 NEW SOUTH DR, AMHERST, NH 03031-1606
- **Mailing address phone:** (603) 759-1575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2023
- **Last updated:** 03/14/2026