MR. JERRY SULLIVAN JR., ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1306909551
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | - |
Frequently Asked Questions
NPI 1306909551 is the National Provider Identifier for MR. JERRY SULLIVAN JR., ATC, a Specialist/Technologist - Athletic Trainer provider located in Springfield, IL. This NPI was enumerated on December 19, 2006.
MR. JERRY SULLIVAN JR., ATC practices at 3631 S. SIXTH STREET, Springfield, IL 62703.
Quick Facts
- NPI
- 1306909551
- Type
- Individual
- Enumerated
- Dec 19, 2006
- Last Updated
- Jul 8, 2007
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