Organization
RIVER'S EDGE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SULLIVAN DC (CHIROPRACTOR / OWNER)
(440) 459-1414
Entity
Organization
Contact information
Practice address
701 BETA DR, SUITE 18, MAYFIELD VILLAGE, OH 44143-2367
(440) 459-1414
(440) 459-1347
Mailing address
701 BETA DR, SUITE 18, MAYFIELD VILLAGE, OH 44143-2367
(440) 459-1414
(440) 459-1347
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4186
OH
Other
Enumeration date
09/15/2016
Last updated
12/09/2016
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