Dr. John Thomas Sullivan
Chiropractor Chiropractic Sports Physician
303 Southwest 16th Street Suite #7
Bentonville
, Arkansas 72712
Dr. John Thomas Sullivan
Chiropractor Chiropractic Sports Physician
303 Southwest 16th Street Suite #7
Bentonville
, Arkansas 72712
(479) 271-8548
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About
Features
Specialties
- Chiropractor
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. John Thomas Sullivan
- 303 Southwest 16th Street Suite #7
- Bentonville, AR
- Zip : 72712
- Fax : (479) 271-8548
- Phone : (479) 271-8100
Second Address
- Dr. John Thomas Sullivan
- 303 Southwest 16th Street Suite #7
- Bentonville, AR
- Zip : 72712
- Fax : (479) 271-8548
- Phone : (479) 271-8100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1574 | AR |
| N | 111NS0005X | Chiropractic Sports Physician | 1574 | AR |
National Provider Identifier
| NPI | 1184604761 |
|---|---|
| Provider Name | Dr. John Thomas Sullivan |
| First Address | Bentonville, AR 72712 |
| Second Address | Bentonville, AR 72712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2006 |
| Last Update Date | 05/05/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.