Douglas E. Sullivan, DC

Chiropractor · Renton, WA

Individual Active NPI

NPI number 1104045137

Practice location

304 Main Ave S
203
Renton, WA 98057-2758
Phone
(206) 683-2995
Fax
(206) 666-6213

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NPI record

NPI
1104045137
Entity type
Individual (Type 1)
Enumeration date
April 25, 2007
Last updated
September 9, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CH00034393 WA

About Dr. Sullivan

Douglas E. Sullivan, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 304 Main Ave S, 203, Renton, WA 98057-2758. The NPI number 1104045137 was assigned on April 25, 2007 and the record was last updated on September 9, 2009.

Dr. Sullivan lists a license in the registry: #CH00034393 (WA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Douglas E. Sullivan, DC?

The NPI number is 1104045137.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (206) 683-2995.

Where is Dr. Sullivan located?

304 Main Ave S, 203, Renton, WA 98057-2758.

What is the taxonomy code for Dr. Sullivan?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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