Sullivan Chiropractic PC
NPI 1114100880ActiveOrganization· Chiropractor· Dubuque, IA
Chiropractor in Dubuque, Iowa, registered in NPPES in December 2007. The authorized official on file is Samuel James Sullivan, DC DABCO, Owner Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114100880 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2007 |
| Last updated in NPPES | Jun 27, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 04001 | IA |
| Chiropractor | 111N00000X | A05477 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
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