Charles B Sullivan D.C.

NPI 1811086069 - Chiropractor - 111N00000X

NPI Details
NPI 1811086069
Gender Male
Enumeration Date 10/12/2006
Last Updated 11/28/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4678 N 1ST ST
FRESNO CA, 93726-0903, US
Phone (559) 438-8900
Fax (559) 227-7701
Business Location
4678 N 1ST ST
FRESNO CA, 93726-0903, US
Phone (559) 438-8900
Fax (559) 227-7701
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number 770014679
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According to our database, Dr. Charles B Sullivan D.C. NPI is 1811086069, taxonomy code is 111N00000X and license number is 770014679, license state is located at California. Charles B Sullivan D.C. physically located at 4678 N 1st St, Fresno CA, 93726-0903. NPI Number Charles B Sullivan D.C. has the Individual type.

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1811086069 NPI number is provided on an as is basis without warranty of any kind. 1811086069 is maintained by the National Plan & Provider Enumeration System. The contents of Charles B Sullivan D.C. are for informational purposes only.