Organization
SULLIVAN CHIROPRACTIC & REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN C SULLIVAN D.C. (PRESIDENT)
(978) 921-4440
Entity
Organization
Contact information
Practice address
142 RANTOUL ST, BEVERLY, MA 01915-4241
(978) 921-4440
(978) 921-6349
Mailing address
142 RANTOUL ST, BEVERLY, MA 01915-4241
(978) 921-4440
(978) 921-6349
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2069
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39672
BCBS GROUP
MA
Enumeration date
01/07/2008
Last updated
01/07/2008
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