NICHOLAS J. SULLIVAN, LLC (NPI# 1255579165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255579165 |
| Entity Type | Organization |
| Organization Name | NICHOLAS J. SULLIVAN, LLC |
| Other Organization Name | SULLIVAN CHIROPRACTIC WELLNESS CENTER |
| Practice Address |
14550 Amstutz Rd Suite C Leo IN 46765-9605 |
| Mailing Address |
14550 Amstutz Rd Ste C P.o. Box 319 Leo IN 46765-9605 |
| Practice Telephone | 2604380282 |
| Mailing Telephone | 2604380282 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |
| Authorized Official Name | DR. NICHOLAS JOSEPH SULLIVAN (CHIROPRACTOR) |
| Authorized Official Telephone | 2604380282 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sullivan Chiropractic Wellness Center | Doing Business As Name - Organization |
| Street Address |
14550 AMSTUTZ RD SUITE C |
| City | LEO |
| State | IN |
| Zip Code | 46765-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194213116 | Snyder Family Chiropractic, LLC | Acupuncturist | 14425 Leo Rd, Leo, IN 46765 | 2018-04-25 |
| 1902270713 | Jena Lynn Snyder | Chiropractor | 14425 Leo Road, Leo, IN 46765 | 2015-11-17 |
| 1932544590 | Kirby K. Reutter | Counselor | 14505 Klopfenstein Road, Leo, IN 46765 | 2013-05-08 |
| 1902932460 | Paul V Blusys | Emergency Medicine | 9721 Garman Road, Leo, IN 46765 | 2007-02-26 |
| 1548385487 | Home Healthcare Associates, Inc. | Home Health | 16725 Pine Ridge Pass, Leo, IN 46765-9210 | 2007-03-20 |
| 1669546370 | Mobile Medical Maintenance Co. | Durable Medical Equipment & Medical Supplies | 15027 State Road 1, Leo, IN 46765-9323 | 2006-11-17 |
| 1780617340 | Kelly Sue Bressler | Nurse Practitioner | 13821 Leo Rd, Leo Cedarville, IN 46765-9400 | 2006-07-08 |
| 1689285264 | Melissa Scott | Pharmacist | 13821 Leo Rd, Leo, IN 46765-9400 | 2020-08-16 |
| 1245875640 | Jonathan Crabill | Pharmacist | 13821 Leo Rd, Leo, IN 46765-9400 | 2019-11-10 |
| 1316382922 | Jennifer Nicole Mays | Nurse Practitioner | 13821 Leo Rd, Leo, IN 46765-9400 | 2013-05-09 |
| Find all providers in zip 46765 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1568071710 | Ivx Health of Indiana PC | Clinic/Center | 9510 N Meridian St Ste D, Indianapolis, IN 46260-1333 | 2020-07-23 |
| 1346867942 | Henry County Memorial Hospital | Clinic/Center | 4760 National Rd W, Richmond, IN 47374-4745 | 2020-06-30 |
| 1114541935 | Ourhealth Physicians Group, LLC | Clinic/Center | 9998 N Michigan Rd, Carmel, IN 46032-9640 | 2020-06-08 |
| 1366076564 | Sullivan County Community Hospital | Clinic/Center | 4146 S 7th St Ste B, Terre Haute, IN 47802-4123 | 2020-02-26 |
| 1497306310 | Activate Healthcare - Ibew Local 153/ua Local 172 South Bend | Clinic/Center | 3371 W Cleveland Road Ext Ste 120, South Bend, IN 46628-9780 | 2019-09-23 |
| 1437707601 | Nuyou Therapies, LLC | Clinic/Center | 5401 Vogel Rd Ste 740, Evansville, IN 47715-7834 | 2019-08-29 |
| 1306492160 | Deaconess Clinic, Inc. | Clinic/Center | 315 N 1st Ave, Evansville, IN 47710-1218 | 2019-08-16 |
| 1750941902 | Unity Healthcare LLC | Clinic/Center | 1345 Unity Pl Ste 220, Lafayette, IN 47905-5761 | 2019-06-19 |
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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.