Sullivan, Samuel James

Sullivan, Samuel James is an individual health care provider with primary practice located at 2699 John F Kennedy Rd , Dubuque IA 52002-2838. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sullivan, Samuel James can be contacted via phone (563) 556-8600.

Contact Information

Primary practice address
2699 John F Kennedy Rd Dubuque IA 52002-2838
Phone: (563) 556-8600
Fax: (563) 556-8600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 04001 Iowa

Profile Details

NPI number 1366401887
LBN Legal business name Sullivan, Samuel James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Dec 17th, 2012 - about 13 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 1366401887 NPPES
Iowa MEDICAID 0018788
Iowa Other 01878

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