Sullivan, Paul Mark

Sullivan, Paul Mark is an individual health care provider with primary practice located at 10751 W 143Rd St , Orland Park IL 60462-1900. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sullivan, Paul Mark can be contacted via phone (708) 460-8688.

Contact Information

Primary practice address
10751 W 143Rd St Orland Park IL 60462-1900
Phone: (708) 460-8688
Fax: (708) 460-9272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH7806 Florida
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1023000700
LBN Legal business name Sullivan, Paul Mark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023000700 NPPES
Illinois Other 2645935 AETNA HMO
Illinois Other 7199255 AETNA HMO

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