Charles B Sullivan (NPI# 1811086069, PAC ID# 1557465085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1811086069 |
| PAC ID by PECOS | 1557465085 |
| Professional Enrollment ID | I20070322000408 |
| Full Name | Charles B Sullivan |
| Organization Legal Name | SULLIVAN CHIROPRACTIC CENTER INC |
| Address |
4678 N 1st St Fresno CA 93726-0903 |
| Phone Number | 5594388900 |
| Gender | M |
| Credential | DC |
| Graduation Year | 1983 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 7416131313 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4678 N 1st St, Fresno, CA 93726-0903 | 5594388900 | SULLIVAN CHIROPRACTIC CENTER INC |
| Organization Legal Name | SULLIVAN CHIROPRACTIC CENTER INC |
| Physicians | 1 |
| Street Address |
4678 N 1ST ST |
| City | FRESNO |
| State | CA |
| Zip | 93726-0903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin K. Kuwamoto | Chiropractic | 2384 E Gettysburg Ave, Fresno, CA 93726-0320 | |
| Russell G Kuwamoto | Chiropractic | 2384 E Gettysburg Ave, Fresno, CA 93726-0320 | |
| Rachel M Richardson | Psychologist, Clinical | Permanente Medical Group Inc | 4785 N 1st St, Fresno, CA 93726-0513 |
| Olga Armie G Victa | Psychiatry | Permanente Medical Group Inc | 4785 N 1st St, Fresno, CA 93726-0513 |
| Carolina Andrea Simunovic | Dermatology | Permanente Medical Group Inc | 4785 N 1st St, Fresno, CA 93726-0513 |
| Huiwen Hao | Psychiatry | Permanente Medical Group Inc | 4785 N 1st St, Fresno, CA 93726-0513 |
| Beena Suresh Nair | Psychiatry | Permanente Medical Group Inc | 4785 N 1st St, Fresno, CA 93726-0513 |
| Gagandeep S Dhillon | Psychiatry | Permanente Medical Group Inc | 4785 N 1st St, Fresno, CA 93726-0513 |
| Gabriel P Glatstein | Clinical Psychologist | Permanente Medical Group Inc | 4785 N 1st St, Fresno, CA 93726-0513 |
| Yana V Yanovskaya | Psychiatry | Permanente Medical Group Inc | 4785 N 1st St, Fresno, CA 93726-0513 |
| Find all physicians in zip 93726 | |||
| City | FRESNO |
| Zip Code | 93726 |
| Specialty | CHIROPRACTIC |
| City + Specialty | FRESNO + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.