Sullivan, Nicole Elizabeth

Sullivan, Nicole Elizabeth is an individual health care provider with primary practice located at 214 W John Fitch Ave , Bardstown KY 40004-1115. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Sullivan, Nicole Elizabeth can be contacted via phone (502) 350-1314.

Contact Information

Primary practice address
214 W John Fitch Ave Bardstown KY 40004-1115
Phone: (502) 350-1314
Fax: (502) 350-1316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4982 Kentucky

Profile Details

NPI number 1154499036
LBN Legal business name Sullivan, Nicole Elizabeth
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Nov 14th, 2014 - about 12 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 1154499036 NPPES
Kentucky Other 463476472 TAX ID

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