Sullivan, Carol
Sullivan, Carol is an individual health care provider with primary practice located at 602 Weinrich Rd Trlr 6 , Las Cruces NM 88007-4857. She recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Other Service Providers / Mechanotherapist, Other Service Providers / Reflexologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Sullivan, Carol can be contacted via phone (575) 496-1162.Contact Information
Primary practice address
602 Weinrich Rd Trlr 6
Las Cruces NM 88007-4857
Phone: (575) 496-1162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | MT8614 | New Mexico |
| Other Service Providers / Mechanotherapist | 172M00000X | MT8614 | New Mexico |
| Other Service Providers / Reflexologist | 173C00000X | MT8614 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT8614 | New Mexico |
Profile Details
| NPI number | 1629324017 |
|---|---|
| LBN Legal business name | Sullivan, Carol |
| Credentials | CASE MANAGER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2012 |
| Last updated | Jan 30th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629324017 | NPPES |
| New Mexico | MEDICAID | 74481 |
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