Physician Compare National (NPI:1497792535)

HEALTHCARE PROVIDER: ARNO EUGENE SULLIVAN D,C,

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1497792535
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698891067
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100923000607
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SULLIVAN
	Individual professional last name
Provider First Name	ARNO
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	20104 STATE HWY 88
	Group Practice or individual's line 1 address
City	PINE GROVE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	95665
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2092965755
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050014
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SUTTER AMADOR HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y