# RIVER'S EDGE CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699223966
- **Authorized official:** DR. RICHARD SULLIVAN DC (CHIROPRACTOR / OWNER)
- **Authorized official phone:** (440) 459-1414

## Contact information

- **Practice address:** 701 BETA DR, SUITE 18, MAYFIELD VILLAGE, OH 44143-2367
- **Practice address phone:** (440) 459-1414
- **Practice address fax:** (440) 459-1347
- **Mailing address:** 701 BETA DR, SUITE 18, MAYFIELD VILLAGE, OH 44143-2367
- **Mailing address phone:** (440) 459-1414
- **Mailing address fax:** (440) 459-1347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4186 | OH | Yes |

## Other

- **Enumeration date:** 09/15/2016
- **Last updated:** 12/09/2016