DR. CHARLES B SULLIVAN (NPI# 1811086069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811086069 |
| Entity Type | Individual |
| Full Name | DR. CHARLES B SULLIVAN |
| Credential | D.C. |
| Practice Address |
4678 N 1st St Fresno CA 93726-0903 |
| Practice Telephone | 5594388900 |
| Practice Fax Number | 5592277701 |
| Mailing Telephone | 5594388900 |
| Mailing Fax Number | 5592277701 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 770014679 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801190194 | Charles Robert Sullivan | Pharmacist | 230 E Johnson Ave, Coos Bay, OR 97420-1478 | 2010-12-31 |
| 1144433863 | Charles D Sullivan | Psychologist | 265 Route 46 West, Suite 202, Totowa, NJ 07512 | 2007-05-08 |
| 1003984311 | Charles W Sullivan | Neuromusculoskeletal Medicine & OMM | 98 Second St, Hallowell, ME 04347-1368 | 2006-12-04 |
| 1821562612 | Charles Blake Sullivan | Physical Therapist | 4645 Village Square Dr Ste A, Paducah, KY 42001-7448 | 2019-01-15 |
| 1033687215 | Charles Sullivan | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2018-11-06 |
| 1417193723 | Charles Sullivan | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2008-12-17 |
| 1114093259 | Charles Sullivan | Social Worker | 10 High St Ste 10, Medford, MA 02155-3848 | 2006-11-28 |
| 1033163381 | Charles D Sullivan | Family Medicine | 840 N 5th Ave, Ste 2100, Sequim, WA 98382-3045 | 2006-05-20 |
| 1619929635 | Charles L Sullivan | Orthopaedic Surgery | 2360 Mullan Rd, Suite C., Missoula, MT 59808-1811 | 2006-05-17 |
| 1801857693 | Charles David Sullivan | Pathology | 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | 2006-03-31 |
| Street Address |
4678 N 1ST ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-0903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992000673 | Sullivan Chiropractic Center Inc | Chiropractor | 4678 N 1st St, Fresno, CA 93726-0903 | 2011-01-11 |
| 1275622896 | Isaac A Birchall | Chiropractor | 4678 N 1st St, Fresno, CA 93726-0903 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| 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 |
|---|---|---|---|---|
| 1952806168 | Colton King | Chiropractor | 7161 N Howard St Ste 100, Fresno, CA 93720-2981 | 2018-03-28 |
| 1639687650 | Well4work | Chiropractor | 5321 N Fresno St Ste 105c, Fresno, CA 93710-6850 | 2018-01-11 |
| 1356853048 | Texan Chiropractic Center, Pllc | Chiropractor | 2703 Driftwood Bend Dr, Fresno, TX 77545-6140 | 2017-11-02 |
| 1265955470 | Trinity Wellness & Chiropractic | Chiropractor | 8412 N Hayston Ave, Fresno, CA 93720-2348 | 2017-07-19 |
| 1982132353 | Daniel Hopper | Chiropractor | 7191 N Millbrook Ave Ste 116, Fresno, CA 93720-3365 | 2017-05-31 |
| 1821462904 | Dynamic Integrative Health PC | Chiropractor | 1382 E Alluvial Ave Ste 106, Fresno, CA 93720-2699 | 2015-11-30 |
| 1659753648 | Alan Floresca | Chiropractor | 3883 E Calwa Ave, Suite 113, Fresno, CA 93725-2045 | 2015-06-25 |
| 1871938217 | Jacob Richard Petway | Chiropractor | 1414 E Santa Ana Ave, Fresno, CA 93704-3436 | 2013-04-29 |
| 1871862052 | Stoltenberg Chiropractic Professional Corporation | Chiropractor | 7472 N Fresno St Ste 206, Fresno, CA 93720-2459 | 2011-12-18 |
| 1689959363 | Cyndy L Curry | Chiropractor | 1706 E Bullard Ave Ste 101, Fresno, CA 93710-5867 | 2011-10-13 |
| Find all providers in FRESNO | ||||
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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.