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GARY SULLIVAN
NPI 1063862464
Technician, Other in Festus, MO

Active since June 16, 2016
110 N MILL ST, FESTUS, MO 63028(636) 931-2700(636) 931-1961 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Sullivan NPPES

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

GARY SULLIVAN (NPI 1063862464) is an individual technician, other provider in Festus, Missouri and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1063862464
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameGARY SULLIVAN
Location Address110 N MILL STFestus, MO 63028-1816
Mailing Address227 Main StFestus, MO 63028-1952 · (636) 931-2700 · Fax (636) 931-5304
Phone(636) 931-2700
Fax(636) 931-1961
Sole ProprietorNo
Enumeration DateJune 16, 2016
✔ NPI 1063862464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
110 N MILL ST, Festus, MO 63028
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA S YOCHUM LPC
Counselor (Professional)
110 N MILL ST
FESTUS, MO 63028
Jefferson County (636) 931-2700
SHELBY WILFONG
Case Manager/Care Coordinator
110 N MILL ST
FESTUS, MO 63028
Jefferson County (636) 931-2700
JENNIFER LYNN BEVIRT-MERSINGER
Social Worker (Clinical)
110 N MILL ST
FESTUS, MO 63028
Jefferson County (636) 931-2700
CHRISTINA LYNN GOWER MAC, LPC
Counselor (Professional)
110 N MILL ST
FESTUS, MO 63028
Jefferson County (636) 931-2700
KIMBER MANNING
Case Manager/Care Coordinator
110 N MILL ST
FESTUS, MO 63028
Jefferson County (636) 931-2700
REBECCA EFKEN
Case Manager/Care Coordinator
110 N MILL ST
FESTUS, MO 63028
Jefferson County (636) 931-2700
SARAH WITHOUSE
Case Manager/Care Coordinator
110 N MILL ST
FESTUS, MO 63028
Jefferson County (636) 931-2700
ASHLY KRISTINE SUNSHINE
Technician, Other
110 N MILL ST
FESTUS, MO 63028
Jefferson County (636) 931-2700

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 Gary Sullivan's NPI number?

The NPI number for Gary Sullivan is 1063862464. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Gary Sullivan located?

Gary Sullivan practices at 110 N Mill St, Festus, MO 63028. The listed phone number is (636) 931-2700.

What is Gary Sullivan's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Gary Sullivan was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.