IndividualActive
Charles Sullivan, DO
NPI 1003984311 · Neuromusculoskeletal Medicine & OMM Physician · Hallowell, ME
Provider details
- NPI number
- 1003984311
- Entity type
- Individual
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1048 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
98 Second St
Hallowell, ME 04347-1368
Phone: (207) 649-2795
Fax: (617) 488-2237
Approximate (ZIP-level) locationGet directions
Mailing address
98 Second St
Hallowell, ME 04347-1368
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2013-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.