Dr. Timothy Paul Sullivan, D.C.
Chiropractor in Independence, MO. Individual provider (NPI-1).
NPI number1982019840
StatusActive
Last updated in NPPESJun 30, 2014
Details
- NPI
- 1982019840
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Paul Sullivan
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2014
- Last updated
- Jun 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2014013450 | MO | Yes |
Practice location
17000 E Us Highway 40 Ste 7Independence, MO 64055-5394
Phone 816-373-6363
Mailing address
3506 Harvard AveIndependence, MO 64052-2337
Phone 402-490-7509
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