Active NPI
Christine Louise Sullivan, DC
- Chiropractor
- East Troy, WI
National Provider Identifier
1912975103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3767012
- Practice address
- 3161 Main St
East Troy, WI 53120-1151 - Phone
- (262) 642-7404
- Fax
- (262) 642-7493
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3767012 | WI | Primary |
Addresses
Primary practice location
3161 Main St
East Troy, WI 53120-1151
Mailing address
PO Box 645
East Troy, WI 58120-0645
Phone (262) 642-7404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38931300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051202000425 | WI | Practitioner - Chiropractic | 8224058433 | Practice locations: East Troy, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3161 Main St
East Troy, WI 53120-1151
Phone (262) 642-7404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3767012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912975103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645",
"city": "EAST TROY",
"state": "WI",
"postal_code": "581200645",
"telephone_number": "262-642-7404",
"fax_number": "262-642-7493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3161 MAIN ST",
"city": "EAST TROY",
"state": "WI",
"postal_code": "531201151",
"telephone_number": "262-642-7404",
"fax_number": "262-642-7493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "CHRISTINE",
"middle_name": "LOUISE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3767012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38931300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Troy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.