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Contact Information

CAROL SULLIVAN, CASE MANAGER
602 WEINRICH RD TRLR 6
LAS CRUCES, NM88007-4857
 Phone: 575-496-1162
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
 

Mechanotherapist

172M00000X
 

Reflexologist

173C00000X
 

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CAROL SULLIVAN · (Female)

NPI Number 1629324017
Status Active
Credentials CASE MANAGER
Entity Individual
Enumeration date 08/03/2012
Last updated 01/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MT8614
  • NM Medicaid 74481
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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