| Nicholas J. Sullivan, Llc | |
|
14550 Amstutz Rd Suite C Leo IN 46765-9605 | |
| (260) 438-0282 | |
| Not Available |
| Full Name | Nicholas J. Sullivan, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 14550 Amstutz Rd, Leo, Indiana |
| Authorized Official Name and Position | Nicholas Joseph Sullivan (CHIROPRACTOR) |
| Authorized Official Contact | 2604380282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas J. Sullivan, Llc 14550 Amstutz Rd Ste C P.o. Box 319 Leo IN 46765-9605 Ph: (260) 438-0282 | Nicholas J. Sullivan, Llc 14550 Amstutz Rd Suite C Leo IN 46765-9605 Ph: (260) 438-0282 |
| NPI Number | 1255579165 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 01/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255579165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |