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DR. MICHAEL DOUGLAS SULLIVAN DC NPI 1194711804


NPI Information

NPI: 1194711804
Provider Name: DR. MICHAEL DOUGLAS SULLIVAN, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2315 W ARBORS DR STE 208A
CHARLOTTE, NC
ZIP 28262
Phone: (704) 547-1800
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DR. Michael Douglas Sullivan, DC is a chiropractor in Charlotte, NC with 22 years of experience. The provider is 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. DR. Michael Douglas Sullivan, DC NPI is 1194711804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:2002

The provider's business location address is:

2315 W ARBORS DR STE 208A
CHARLOTTE, NC
ZIP 28262-577
Phone: (704) 547-1800
Fax: (704) 547-1611

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 9/27/2005 and was last updated on 6/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2832NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1618994OTHERNORTH CAROLINAACN
20194LOTHERNORTH CAROLINACNC/BCBS-GROUP
3890844XMEDICAIDNORTH CAROLINA
40844XOTHERNORTH CAROLINABCBS
57998160OTHERNORTH CAROLINAAETNA-INDIVIDUAL
63002130OTHERNORTH CAROLINAAETNA HMO-SULLIVAN FAMILY
77386420OTHERNORTH CAROLINAAETNA-SULLIVAN FAMILY CHI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.