Dr Carla Ann Sullivan, DC | |
1535 47th Ave, Suite 5, Moline, IL 61265-7088 | |
(309) 797-4203 | |
Not Available |
Full Name | Dr Carla Ann Sullivan |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 13 Years |
Location | 1535 47th Ave, Moline, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386920510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038-012042 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palmer College Foundation | 1557266863 | 42 |
Palmer College Foundation | 1557266863 | 42 |
Provider Name | Palmer College Foundation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245365733 PECOS PAC ID: 1557266863 Enrollment ID: O20031201000297 |
Mailing Address | Practice Location Address |
---|---|
Dr Carla Ann Sullivan, DC 2001 52nd Ave, Ste 1, Moline, IL 61265-6368 Ph: (309) 797-4203 | Dr Carla Ann Sullivan, DC 1535 47th Ave, Suite 5, Moline, IL 61265-7088 Ph: (309) 797-4203 |
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