Individual
THOMAS RYAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7106 PIPPIN RD, CINCINNATI, OH 45239
(513) 931-8829
(513) 931-0804
Mailing address
7106 PIPPIN RD, CINCINNATI, OH 45239
(513) 931-8829
(513) 931-0804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
765
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405850
—
OH
Enumeration date
08/01/2006
Last updated
07/08/2007
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