NPI | 1043670375 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER SULLIVAN Lead Physician 502-724-0263 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NJ 38MC00718600) |
Enumeration Date | 2016-02-29 |
Last Update Date | 2016-02-29 |