Sullivan Chiropractic Clinic Pc | |
311 E 4th St, Royal Oak, MI 48067-2705 | |
(248) 542-3400 | |
(248) 542-3466 |
Full Name | Sullivan Chiropractic Clinic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 311 E 4th St, Royal Oak, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770600439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Daniel J Sullivan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1093880452 PECOS PAC ID: 7517015985 Enrollment ID: I20090423000585 |
Mailing Address | Practice Location Address |
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Sullivan Chiropractic Clinic Pc 311 E 4th St, Royal Oak, MI 48067-2705 Ph: (248) 542-3400 | Sullivan Chiropractic Clinic Pc 311 E 4th St, Royal Oak, MI 48067-2705 Ph: (248) 542-3400 |
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