Individual
MR. JAMES WILLIAM SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC, LMT
Contact information
Practice address
2745 HIGH RIDGE BLVD STE 7, HIGH RIDGE, MO 63049-2200
(314) 825-4432
Mailing address
2745 HIGH RIDGE BLVD STE 7, HIGH RIDGE, MO 63049-2200
(314) 825-4432
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2011001342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232812942
SAINT LOUIS BEHAVIORAL MEDICINE INSTITUTE
MO
Enumeration date
04/15/2011
Last updated
09/02/2014
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