James William Sullivan, L.Ac, LMT
Acupuncturist in High Ridge, MO. Individual provider (NPI-1).
NPI number1780974378
StatusActive
Last updated in NPPESSep 2, 2014
Details
- NPI
- 1780974378
- Entity type
- Individual (NPI-1)
- Name
- Mr. James William Sullivan
- Credential
- L.Ac, LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2011
- Last updated
- Sep 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 2011001342 | MO | Yes |
Practice location
2745 High Ridge Blvd Ste 7High Ridge, MO 63049-2200
Phone 314-825-4432
Mailing address
2745 High Ridge Blvd Ste 7High Ridge, MO 63049-2200
Phone 314-825-4432
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