Individual
DR. JEFFREY ALLEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
294 TORBETT ST, RICHLAND, WA 99354-2664
(509) 943-5533
(509) 943-3155
Mailing address
294 TORBETT ST, RICHLAND, WA 99354-2664
(509) 943-5533
(509) 943-3155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002853
WA
111N00000X
Chiropractor
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600-216-79
UNIFIED BUSINESS ID
WA
Enumeration date
11/01/2006
Last updated
02/25/2008
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