Type 1 individualNPI 1831882976

MADELINE KLAIRE SULLIVAN DPT

225100000X · MAGEE, MS

Why this profile is appearing now

Observed change signals

No current public change signal is attached to this profile.

Reported classification

Taxonomies

CodeDescriptionSource flag
225100000X 225100000X Primary
2251C2600X 2251C2600X Additional
2251E1200X 2251E1200X Additional
2251E1300X 2251E1300X Additional
2251G0304X 2251G0304X Additional
2251H1200X 2251H1200X Additional
2251H1300X 2251H1300X Additional
2251N0400X 2251N0400X Additional
2251P0200X 2251P0200X Additional
2251S0007X 2251S0007X Additional
2251X0800X 2251X0800X Additional

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s