DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. CHESTER STEVEN SULLIVAN PA-C

MEDICARE: MR. CHESTER STEVEN SULLIVAN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1811976079
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHESTER STEVEN SULLIVAN PA-C
Provider Business Mailing Address
First Line : 3340 OAK CREEK DR E
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-4514
Country : US
Telephone Number : 719-540-5753
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line :
City : FT CARSON
State : CO
Zip : 80913-4603
Country : US
Telephone Number : 719-524-4068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1225017601 — MS. BONNIE CASTRO CRT
Practice Location Address:
1650 COCHRANE CIR
FT CARSON, CO
80913-4603
Practice Phone: 719-524-4100
Practice Fax: 719-526-7007
1740269075 — STEPHEN RANDALL JONES D.O.
Practice Location Address:
1650 COCHRANE CIR
FT CARSON, CO
80913-4603
Practice Phone: 719-526-7172
Practice Fax:
1457321671 — SCOTT ERIN STANFIELD
Practice Location Address:
1650 COCHRANE CIR , BOX #23
FT CARSON, CO
80913-4603
Practice Phone: 816-786-4158
Practice Fax:
1497725535 — MRS. LAURIE K ISAACSON RN
Practice Location Address:
1650 COCHRANE CIR
FT CARSON, CO
80913-4603
Practice Phone: 719-526-7964
Practice Fax: 719-524-4090
1730159062 — USA MEDDAC FT CARSON, CO
Practice Location Address:
1650 COCHRANE CIR
FT CARSON, CO
80913-4603
Practice Phone: 719-260-7024
Practice Fax: 719-524-4893
1104897693 — EVANS ARMY COMMUNITY HOSPITAL
Practice Location Address:
1650 COCHRANE CIR
FT CARSON, CO
80913-4603
Practice Phone: 719-524-4373
Practice Fax:

Directions to “ MR. CHESTER STEVEN SULLIVAN PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.