Organization
REG. NICHOLS SALES LLC
Active
Other names
Sullivan Respiratory Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BREN M SULLIVAN (MANAGING MEMBER)
(970) 878-5883
Entity
Organization
Contact information
Practice address
246 MARKET ST, MEEKER, CO 81641-3419
(970) 878-5883
(970) 878-4736
Mailing address
PO BOX 898, MEEKER, CO 81641-0898
(970) 878-5883
(970) 878-4736
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
325
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08003667
—
CO
Enumeration date
06/22/2005
Last updated
11/05/2007
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