DR. JEFFREY ALLEN SULLIVAN (NPI# 1083791057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083791057 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALLEN SULLIVAN |
| Credential | D.C. |
| Practice Address |
294 Torbett St Richland WA 99354-2664 |
| Practice Telephone | 5099435533 |
| Practice Fax Number | 5099433155 |
| Mailing Telephone | 5099435533 |
| Mailing Fax Number | 5099433155 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00002853 | WA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | UNIFIED BUSINESS ID | 600-216-79 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114215266 | Jeffrey M Sullivan | Counselor | 2219 Sawdust Rd Ste 1101, Spring, TX 77380 | 2011-07-11 |
| 1376845891 | Jeffrey N Sullivan | Pharmacist | 13308 Meridian E, Puyallup, WA 98373-5612 | 2010-12-03 |
| 1194843128 | Jeffrey P Sullivan | Pharmacist | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2007-03-27 |
| 1356484331 | Jeffrey H Sullivan | Internal Medicine | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-02-15 |
| Street Address |
294 TORBETT ST |
| City | RICHLAND |
| State | WA |
| Zip Code | 99354-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114127032 | Diamond Chiropractic Ps | Chiropractor | 294 Torbett St, Richland, WA 99354-2664 | 2007-07-19 |
| 1295858835 | David Benjamin Cook | Chiropractor | 294 Torbett St, Richland, WA 99354-2664 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415591 | Shawn Ryan Miller | Counselor | Lourdes Counseling Center, 1175 Carondelet Dr, Richland, WA 99354 | 2020-04-13 |
| 1891277448 | Tyler Andrew Burgett | Physician Assistant | 1015 Marshall Ave, Richland, WA 99354 | 2018-08-30 |
| 1275072704 | Glenn Manigque | Speech-Language Pathologist | 1525 Hunt Avenue, Richland, WA 99354 | 2017-02-16 |
| 1548688963 | Lorena Swift | Counselor | 2139 Van Giesen Street, Richland, WA 99354 | 2014-04-02 |
| 1346569431 | Mitchell Scott Ferris | Preventive Medicine | 2435 Stevens Center Place, Wtp Medcor Medical Facility, Richland, WA 99354 | 2010-05-28 |
| 1104155928 | Jamie Loretta Brault | Counselor | 1124 Stevens Drive, Richland, WA 99354 | 2009-12-08 |
| 1881835056 | Tracey Ann Glenn | Registered Nurse | 1305 Hains Avenue, Richland, WA 99354 | 2009-03-17 |
| 1124153374 | Robert John Betzler | Chiropractor | 294 Torbett, Richland, WA 99354 | 2007-02-21 |
| 1316090954 | Surender K Wadhwa | Internal Medicine | 217 Torbett Street, Suite 101, Richland, WA 99354 | 2007-01-18 |
| 1831136894 | James A. Strong Jr. | Anesthesiology | 2433 G. Washington Way, #7202, Richland, WA 99354 | 2006-05-31 |
| Find all providers in zip 99354 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306352067 | Sarah Johnston | Chiropractor | 507 Knight St Ste B, Richland, WA 99352-4258 | 2017-12-18 |
| 1528417466 | Kenneth Robert Vandyken | Chiropractor | 1808 Longfitt St, Richland, WA 99352-3719 | 2016-06-10 |
| 1649610791 | Christa Kae Muell | Chiropractor | 101 W Highway 78, Unit 2, Richland, IA 52585-9219 | 2013-07-02 |
| 1386989861 | Weber Chiropractic | Chiropractor | 101 W Hwy 78 Unit #2, Richland, IA 52585 | 2012-12-10 |
| 1245580059 | Gull Lake Chiropractic Inc | Chiropractor | 9363 E D Ave, Richland, MI 49083-9497 | 2012-09-19 |
| 1013200245 | Harprit Nijjer | Chiropractor | 1711 Manchester St, Richland, WA 99352-9207 | 2011-05-20 |
| 1225359730 | Terry Chiropractic, Ps | Chiropractor | 2568 Queensgate Dr, Richland, WA 99352-9109 | 2010-06-18 |
| 1518132695 | Richland Chiropractic, PC | Chiropractor | 9800 M 89, Suite 9801, Richland, MI 49083 | 2008-04-29 |
| 1164613980 | Cornerstone Chiropractic Clinic Ps | Chiropractor | 1903 George Washington Way, Richland, WA 99354-2307 | 2007-08-07 |
| 1609098441 | Jennifer Sue Weber | Chiropractor | 101 W Hwy 78 Unit 2, Richland, IA 52585 | 2007-05-02 |
| Find all providers in RICHLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.