Provider Demographics
NPI:1326269234
Name:WELDON, SEAN F (DO, MPT, MBA)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:F
Last Name:WELDON
Suffix:
Gender:M
Credentials:DO, MPT, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1267
Mailing Address - Country:US
Mailing Address - Phone:412-246-2300
Mailing Address - Fax:
Practice Address - Street 1:315 S 9TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1267
Practice Address - Country:US
Practice Address - Phone:412-246-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0177362084P0800X
IL1250606232084P0800X
225100000X
IL070014207225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist