Organization
SULLIVAN CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL JAMES SULLIVAN DC DABCO (OWNER CHIROPRACTOR)
(563) 556-8600
Entity
Organization
Contact information
Practice address
2699 JOHN F KENNEDY RD, DUBUQUE, IA 52002-2838
(563) 556-8600
(563) 556-8600
Mailing address
2699 JOHN F KENNEDY RD, DUBUQUE, IA 52002-2838
(563) 556-8600
(563) 556-8600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04001
IA
111N00000X
Chiropractor
A05477
IA
Other
Enumeration date
12/17/2007
Last updated
06/27/2008
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