Provider Demographics
NPI:1073672168
Name:HIGGINS, SEAN A (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:A
Last Name:HIGGINS
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 1:209 NASSAU ST S STE 102
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-2358
Mailing Address - Country:US
Mailing Address - Phone:941-484-4448
Mailing Address - Fax:941-460-9170
Practice Address - Street 1:209 NASSAU ST S STE 102
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-2358
Practice Address - Country:US
Practice Address - Phone:941-484-4448
Practice Address - Fax:941-460-9170
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY286821Medicare ID - Type Unspecified
NY32824Medicare UPIN