Provider Demographics
NPI:1467052720
Name:HIGBEE, SEAN CHRISTOPHER (RPH)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:CHRISTOPHER
Last Name:HIGBEE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4490 GALLIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-5553
Mailing Address - Country:US
Mailing Address - Phone:740-456-8267
Mailing Address - Fax:740-456-6156
Practice Address - Street 1:4490 GALLIA ST
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:OH
Practice Address - Zip Code:45662-5553
Practice Address - Country:US
Practice Address - Phone:740-456-8267
Practice Address - Fax:740-456-6156
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03321619183500000X
OH03-3-21619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist