Provider Demographics
NPI:1497077127
Name:O'FLAHERTY, SEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:O'FLAHERTY
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 1:7330 STAPLES MILL RD
Mailing Address - Street 2:STE 192
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-4122
Mailing Address - Country:US
Mailing Address - Phone:804-314-4809
Mailing Address - Fax:
Practice Address - Street 1:7330 STAPLES MILL RD
Practice Address - Street 2:192
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-4122
Practice Address - Country:US
Practice Address - Phone:804-314-4809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9897111N00000X
VA0104557101111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor