Provider Demographics
NPI:1154724581
Name:AGGSON SULLIVAN PARTNERSHIP
Entity type:Organization
Organization Name:AGGSON SULLIVAN PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:AGGSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-243-7641
Mailing Address - Street 1:127 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CONCORDIA
Mailing Address - State:KS
Mailing Address - Zip Code:66901-2932
Mailing Address - Country:US
Mailing Address - Phone:785-243-1454
Mailing Address - Fax:785-243-1232
Practice Address - Street 1:127 E 6TH ST
Practice Address - Street 2:
Practice Address - City:CONCORDIA
Practice Address - State:KS
Practice Address - Zip Code:66901-2932
Practice Address - Country:US
Practice Address - Phone:785-243-1454
Practice Address - Fax:785-243-1232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty