Provider Demographics
NPI:1104151489
Name:SEAN ENGLISH CHIROPRACTIC LLC
Entity type:Organization
Organization Name:SEAN ENGLISH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-713-4779
Mailing Address - Street 1:16 GREENBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-1616
Mailing Address - Country:US
Mailing Address - Phone:908-713-4779
Mailing Address - Fax:
Practice Address - Street 1:279 STATE ROUTE 31 S
Practice Address - Street 2:UNIT 1
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-4098
Practice Address - Country:US
Practice Address - Phone:908-689-2201
Practice Address - Fax:908-689-2203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00506200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1740401629OtherNPI
NJU67630Medicare UPIN
NJ901371MJKMedicare PIN