| NPI | 1114100880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JAMES SULLIVAN Owner Chiropractor 563-556-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 04001) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA A05477) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2008-06-27 |