Individual
DR. MICHAEL DOUGLAS SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2315 W ARBORS DR STE 208A, CHARLOTTE, NC 28262-2577
(704) 547-1800
(704) 547-1611
Mailing address
2315 W ARBORS DR STE 208A, CHARLOTTE, NC 28262-2577
(704) 547-1800
(704) 547-1611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2832
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194L
CNC/BCBS-GROUP
NC
01
—
0844X
BCBS
NC
01
—
3002130
AETNA HMO-SULLIVAN FAMILY
NC
01
—
618994
ACN
NC
01
—
7386420
AETNA-SULLIVAN FAMILY CHI
NC
01
—
7998160
AETNA-INDIVIDUAL
NC
05
—
890844X
—
NC
Enumeration date
09/27/2005
Last updated
06/29/2021
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