DR. Timothy John Sullivan, DC

NPI #1508113291 in Omaha, Nebraska

Provider Information

NPI Number: 1508113291
Entity Type: Individual
Name: DR. Timothy John Sullivan, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 13, 2012
Last Updated: Jun 5, 2017

Practice Location

Address: 8013 L ST
City: Omaha
State: Nebraska
ZIP Code: 68127-1734
Phone: (402) 592-7686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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