Individual
DR. TIMOTHY JOHN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8013 L ST, OMAHA, NE 68127-1734
(402) 592-7686
Mailing address
7811 CRABAPPLE CT, LA VISTA, NE 68128-3016
(402) 210-9548
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1726
NE
Other
Enumeration date
08/13/2012
Last updated
06/05/2017
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