| Doctor Name: | DR. CHRISTOPHER DAVID SULLIVAN |
| NPI Number: | 1932194677 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D, M.P.H. |
| License Number: | 095555 |
| Business Practice Address: | 19600 E 39th St S Independence, MO - 640572301 |
| Business Phone Number: | 8166988160 |
| Business Fax Number: | 8885312944 |
| Mailing Address: | 19600 E 39th St S, INDEPENDENCE |
| State: | MO |
| Postal Code: | 640572301 |
| Phone Number: | 8166988160 |
| Fax Number: | 8885312944 |
| NPI Enumeration Date: | 09/20/2005 |
| NPI Last Update Date: | 07/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | 095555 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |