| Sarpy Chiropractic Millard | |
|
4909 S 135th St Ste 104, Omaha, NE 68137-1657 | |
| (402) 593-9930 | |
| Not Available |
| Full Name | Sarpy Chiropractic Millard |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4909 S 135th St Ste 104, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497239560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Timothy John Sullivan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508113291 PECOS PAC ID: 0345493441 Enrollment ID: I20130122000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarpy Chiropractic Millard 4909 S 135th St Ste 104, Omaha, NE 68137-1657 Ph: (402) 763-9955 | Sarpy Chiropractic Millard 4909 S 135th St Ste 104, Omaha, NE 68137-1657 Ph: (402) 593-9930 |
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