Individual
DR. NICHOLAS JOSEPH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8320 CHAPEL BEND DRIVE, FORT WAYNE, IN 46835
(260) 438-0282
Mailing address
8320 CHAPEL BEND DRIVE, FORT WAYNE, IN 46835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002416A
IN
Other
Enumeration date
11/06/2008
Last updated
11/18/2008
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