Sylvie Millette Sullivan, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC20 Issued in ME

Practice address

1662 Post Rd
B4
Wells, ME 04090-4638

Phone

(207) 646-7988

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1962710756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 POST RD",
            "address_2": "B4",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904638",
            "telephone_number": "207-646-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 POST RD",
            "address_2": "B4",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904638",
            "telephone_number": "207-646-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLETTE SULLIVAN",
        "first_name": "SYLVIE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Wells, ME
• Providers in Wells, ME by specialty
• Acupuncturist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.