NPI 1235451832

Sullivan Chiropractic, L.L.C.

Organisation Preferred Provider Organization Lawrence, KS

Practice location

Address: 1309 W 6th St STE a, Lawrence, KS 66044-2220
Phone: (785) 856-2250
Fax: (785) 856-2242

Authorised official

Name: Travis Wayne Sullivan
Title: Owner
Phone: (785) 691-7325

Registered specialties (3)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 01-05275 (KS)

Other Preferred Provider Organization providers in Kansas →

Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X Licence 01-05275 (KS)

Other Health Maintenance Organization providers in Kansas →

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence 01-05275 (KS)

Other Point of Service providers in Kansas →

Registry record

NPI: 1235451832
Entity type: Organization
NPI issued: 23 Feb 2010
Record last updated: 23 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.