SULLIVAN CHIROPRACTIC (NPI# 1710317359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710317359 |
| Entity Type | Organization |
| Organization Name | SULLIVAN CHIROPRACTIC |
| Practice Address |
10055 Wolf Rd Ste 4 Grass Valley CA 95949-8148 |
| Mailing Address |
10980 Sycamore Ct Auburn CA 95602-8021 |
| Practice Telephone | 5307184102 |
| Mailing Telephone | 5307184102 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-12-20 |
| Authorized Official Name | DR. LYNNE ANN SULLLIVAN (PRESIDENT) |
| Authorized Official Telephone | 5307184102 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 17970 | CA | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SULLIVAN CHIROPRACTIC & REHABILITATION, INC. | 142 Rantoul St., Beverly, MA 01915 |
| Iowa Business Entities | SULLIVAN CHIROPRACTIC CENTER, P.C. | Ranniger Law Firm, 517 East Street, Manning, IA 51455 |
| Iowa Business Entities | SULLIVAN CHIROPRACTIC, P.C. | 2699 Jfk Rd, Dubuque, IA 52002 |
| Street Address |
10055 WOLF RD STE 4 |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95949-8148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427196245 | Nancy Kathleen Rarick | Marriage & Family Therapist | 10055 Wolf Rd Ste 4, Grass Valley, CA 95949 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215280649 | John Kingsley Pollard IIi | Chiropractor | 10110 Alta Sierra Drive, Suite A, Grass Valley, CA 95949 | 2012-10-23 |
| 1083813455 | Carolyn Sue Stewart | Registered Nurse | 13397 Mccarter Way, Grass Valley, CA 95949 | 2007-07-16 |
| 1487859419 | Susanne T Bock | Chiropractor | 10370 King Way, Grass Valley, CA 95949 | 2007-06-19 |
| 1891917365 | Charis Youth Center | Residential Treatment Facility, Emotionally Disturbed Children | 17036 Bissell Place, Grass Valley, CA 95949 | 2007-05-03 |
| 1093856510 | John H. Stewart | Marriage & Family Therapist | 908 Taylorville Rd., Ste. 206, Grass Valley, CA 95949 | 2007-02-08 |
| 1184726432 | Kathleen Brady | Chiropractor | 10110 Alta Sierra Dr., Suite A, Grass Valley, CA 95949 | 2006-09-05 |
| 1700997681 | Gayle M Crough | Nurse Practitioner | 10058 Wolf Road, Grass Valley, CA 95949 | 2006-08-31 |
| 1356451017 | Raleys Inc | Pharmacy | 692a Freeman Lane, Grass Valley, CA 95949 | 2006-08-30 |
| 1013985340 | Walter Scott Miller | Specialist | 10042 Wolf Road, Suite A, Grass Valley, CA 95949 | 2006-03-11 |
| 1992702039 | Wladislaw V Ellis | Pain Medicine | 13847 Mallory Ct, Grass Valley, CA 95949 | 2005-07-05 |
| Find all providers in zip 95949 | ||||
| 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 |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1851804090 | Radius Physical and Spors Rehab | Chiropractor | 124 Clydesdale Ct Ste K, Grass Valley, CA 95945-9540 | 2017-11-09 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1215280649 | John Kingsley Pollard IIi | Chiropractor | 10110 Alta Sierra Drive, Suite A, Grass Valley, CA 95949 | 2012-10-23 |
| 1417266917 | Robert Scott Woodhall | Chiropractor | 227 Colfax Ave, Grass Valley, CA 95945-6843 | 2010-09-30 |
| 1710202767 | Richard A. Oberleitner | Chiropractor | 2356 Nevada City Hwy, Grass Valley, CA 95945-7705 | 2010-04-01 |
| 1487859419 | Susanne T Bock | Chiropractor | 10370 King Way, Grass Valley, CA 95949 | 2007-06-19 |
| 1841321999 | Karen Zeischegg Billings | Chiropractor | 1117 E. Main Street, Suite A, Grass Valley, CA 95945-7550 | 2007-03-08 |
| 1063557601 | Christopher T Cota | Chiropractor | 348 Idaho Maryland Rd, Grass Valley, CA 95945-5940 | 2007-02-21 |
| 1598807299 | Judith Anne Fox | Chiropractor | 152 Mill Street, Ste E, Grass Valley, CA 95945 | 2007-02-12 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95949 |
Please comment or provide details below to improve the information on SULLIVAN CHIROPRACTIC.
| 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.