Provider Demographics
NPI:1225142391
Name:WOKEN, SEAN BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:BRIAN
Last Name:WOKEN
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 1:208 IONA ST
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28340-1616
Mailing Address - Country:US
Mailing Address - Phone:910-535-4048
Mailing Address - Fax:910-535-4069
Practice Address - Street 1:208 IONA ST
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:NC
Practice Address - Zip Code:28340-1616
Practice Address - Country:US
Practice Address - Phone:910-535-4048
Practice Address - Fax:910-535-4069
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor