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Organization

SULLIVAN HEALTH SERVICES LLC

Active
Other names
Haven Chiropractic & Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH MICHAEL SULLIVAN DC (OWNER)
(720) 308-2307
Entity
Organization

Contact information

Practice address
12151 E PALMER WASILLA HWY, PALMER, AK 99645-8880
(907) 746-4263
Mailing address
PO BOX 1133, PALMER, AK 99645-1133
(907) 746-4263
(907) 917-5453

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
261QM1300X
Multi-Specialty Clinic/Center
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
05/03/2022
Last updated
09/06/2023
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