Provider Demographics
NPI:1437188919
Name:MATTEO, SEAN C (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:C
Last Name:MATTEO
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 1:88 MAIN ST D
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1684
Mailing Address - Country:US
Mailing Address - Phone:843-338-4411
Mailing Address - Fax:843-781-6883
Practice Address - Street 1:4 NORTHRIDGE DR
Practice Address - Street 2:SUITE C
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-3812
Practice Address - Country:US
Practice Address - Phone:843-686-4222
Practice Address - Fax:843-686-2148
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2558111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCU891887337Medicare UPIN