Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES W SULLIVAN, DO
Active Sole ProprietorDR. CHARLES W SULLIVAN, DO is a Electrodiagnostic Medicine healthcare provider located in HALLOWELL, Maine. NPI 1003984311 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · HALLOWELL, ME
Registration Details
- NPI Number
- 1003984311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.512241239756 yrs)
- Last Updated
- Jul 19, 2013
- Licenses
-
1048 (ME)1048 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
98 SECOND STHALLOWELL, ME, 043471368Browse ME providers · Browse ZIP 04347
- Phone
- 2076492795
- Fax
- 6174882237
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
- Additional Specialty
- Electrodiagnostic Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.