Individual
DR. RICHARD EDWARD SULLIVAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
701 BETA DR, SUITE 18, MAYFIELD VILLAGE, OH 44143-2367
(773) 573-6525
Mailing address
701 BETA DR, SUITE 18, MAYFIELD VILLAGE, OH 44143-2367
(773) 573-6525
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4186
OH
Other
Enumeration date
09/06/2011
Last updated
09/15/2016
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