DR. CHARLES W SULLIVAN DO
NPI 1003984311
Neuromusculoskeletal Medicine & OMM in Hallowell, ME

Active since December 04, 2006
98 SECOND ST, HALLOWELL, ME 04347(207) 649-2795(617) 488-2237 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles W Sullivan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES W SULLIVAN DO (NPI 1003984311) is an individual neuromusculoskeletal medicine & omm provider in Hallowell, Maine, licensed in Maine (1048) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1003984311
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameDR. CHARLES W SULLIVANCredential: DO
Location Address98 SECOND STHallowell, ME 04347-1368
Mailing Address98 Second StHallowell, ME 04347-1368 · (207) 649-2795 · Fax (617) 488-2237
Fax(617) 488-2237
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 19, 2013
NPI 1003984311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License Licensed in ME · 1048
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 1048 (ME)
98 SECOND ST, Hallowell, ME 04347

Other Identifiers 4

Medicare UPINF09158
Other015555Bcbs
Medicaid211750000ME
Other015219Ptan

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Sullivan's NPI number?

The NPI number for Charles Sullivan is 1003984311. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Charles Sullivan located?

Charles Sullivan practices at 98 Second St, Hallowell, ME 04347. The listed phone number is (207) 649-2795.

What is Charles Sullivan's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

When was this NPI record last updated?

The NPPES record for Charles Sullivan was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.