Provider Demographics
NPI:1306845656
Name:FEENEY, SEAN PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:PATRICK
Last Name:FEENEY
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 1:1106 PULASKI HWY
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1332
Mailing Address - Country:US
Mailing Address - Phone:302-300-1111
Mailing Address - Fax:302-257-5628
Practice Address - Street 1:1106 PULASKI HWY
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1332
Practice Address - Country:US
Practice Address - Phone:302-300-1111
Practice Address - Fax:302-257-5628
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEFI-0000354111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE3713779OtherAETNA
DE51-0256713OtherBLUE CROSS
DE048433Medicare UPIN