Organization
JOHN J SULLIVAN CHIROPRACTOR INC
Active
Other names
INDEPENDENCE CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J SULLIVAN D.C. (OWNER/PRESIDENT)
(337) 984-9276
Entity
Organization
Contact information
Practice address
109 INDEPENDENCE BLVD, LAFAYETTE, LA 70506-6086
(337) 984-9276
(337) 984-9012
Mailing address
109 INDEPENDENCE BLVD, LAFAYETTE, LA 70506-6086
(337) 984-9276
(337) 984-9012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
783
LA
Other
Enumeration date
05/19/2006
Last updated
10/14/2008
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