Provider Demographics
NPI:1538131438
Name:CAINE, SEAN BRYAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:BRYAN
Last Name:CAINE
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 1:6077 FRANTZ RD.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3373
Mailing Address - Country:US
Mailing Address - Phone:614-389-4473
Mailing Address - Fax:614-389-4719
Practice Address - Street 1:6077 FRANTZ RD.
Practice Address - Street 2:SUITE 103
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3373
Practice Address - Country:US
Practice Address - Phone:614-389-4473
Practice Address - Fax:614-389-4719
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2117111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
7160601OtherAETNA
AL051531661OtherBLUE CROSS BLUE SHIELD
AL051526781OtherBLUE CROSS BLUE SHIELD
661276OtherUNITED HEALTHCARE
5607105OtherFIRST HEALTH
810667247OtherPHCS
810667247OtherPHCS
7160601OtherAETNA