Provider Demographics
NPI:1962574996
Name:DELANEY, SEAN WILLIS (DC)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:WILLIS
Last Name:DELANEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25059 PEACHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2517
Mailing Address - Country:US
Mailing Address - Phone:661-255-1555
Mailing Address - Fax:661-255-6369
Practice Address - Street 1:25059 PEACHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2517
Practice Address - Country:US
Practice Address - Phone:661-255-1555
Practice Address - Fax:661-255-6369
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24330111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor