Sullivan, Sandra Jane
Sullivan, Sandra Jane is an sole proprietor health care provider with primary practice located at 2929 N Galloway Ave Ste 109, Mesquite TX 75150-6364. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Sullivan, Sandra Jane can be contacted via phone (972) 270-5700.Contact Information
Primary practice address
2929 N Galloway Ave Ste 109
Mesquite TX 75150-6364
Phone: (972) 270-5700
Fax: (972) 270-0047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 6121 | Texas |
Profile Details
| NPI number | 1457468241 |
|---|---|
| LBN Legal business name | Sullivan, Sandra Jane |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Sep 16th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457468241 | NPPES |
| Texas | Other | 606007 | BCBS PROVIDER # |
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