Sullivan, Michael Douglas

Sullivan, Michael Douglas is an sole proprietor health care provider with primary practice located at 2315 W Arbors Dr Ste 208A , Charlotte NC 28262-2577. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sullivan, Michael Douglas can be contacted via phone (704) 547-1800.

Contact Information

Primary practice address
2315 W Arbors Dr Ste 208A Charlotte NC 28262-2577
Phone: (704) 547-1800
Fax: (704) 547-1611
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2832 North Carolina

Profile Details

NPI number 1194711804
LBN Legal business name Sullivan, Michael Douglas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Jun 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194711804 NPPES
North Carolina Other 0844X BCBS
North Carolina Other 618994 BCBS
North Carolina Other 7998160 BCBS
North Carolina Other 0194L BCBS
North Carolina MEDICAID 890844X BCBS
North Carolina Other 3002130 BCBS
North Carolina Other 7386420 BCBS

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