MR. CLYDE WILLIAM SELLERS II (NPI# 1033261649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033261649 |
| Entity Type | Individual |
| Full Name | MR. CLYDE WILLIAM SELLERS II |
| Credential | D.C. |
| Practice Address |
405 Walmart Dr. Sullivan MO 63080 |
| Mailing Address |
405 Wal-mart Dr. Sullivan MO 63080 |
| Practice Telephone | 5734688884 |
| Practice Fax Number | 5734688886 |
| Mailing Telephone | 5734688884 |
| Mailing Fax Number | 5734688886 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 006772 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 122127 | 01 |
| MO | HEALTHLINK | 405868 | 01 |
| Street Address |
405 WALMART DR. |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| 1790205656 | Melissa Leigh Hildebrandt | Counselor | 101 Progress Pkwy, Sullivan, MO 63080 | 2017-06-22 |
| Find all providers in zip 63080 | ||||
| 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 |
|---|---|---|---|---|
| 1639549694 | Tripps Family Inc | Chiropractor | 539 E Washington St, Sullivan, IN 47882-1624 | 2015-10-03 |
| 1134561665 | Murray Chiropractic and Acupuncture, LLC | Chiropractor | 221 N Anderson St, Sullivan, IL 61951-1001 | 2013-07-25 |
| 1003060054 | Ellery Raymond Anderson | Chiropractor | 23 West Vine Street, Sullivan, MO 63080-1912 | 2008-11-04 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
| 1518002476 | Wellnessfirstchiropractic Inc. | Chiropractor | 222 W Beech St, Sullivan, IN 47882-1462 | 2007-02-20 |
| 1114942141 | Sara Elisabeth Tripps | Chiropractor | 31 W Jackson St, Sullivan, IN 47882-1503 | 2006-07-12 |
| 1588636955 | William L Hill | Chiropractor | 556 Walmart Dr, Sullivan, MO 63080-3326 | 2006-02-01 |
| 1194701219 | Michelle M. De La Torre | Chiropractor | 433 W Springfield Rd, Sullivan, MO 63080-1545 | 2005-12-20 |
| 1366982332 | Tripps Chiropractic Corp | Chiropractor | 31 W Jackson St, Sullivan, IN 47882-1503 | 2017-02-24 |
| Find all providers in SULLIVAN | ||||
Please comment or provide details below to improve the information on MR. CLYDE WILLIAM SELLERS II.
| 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.