Provider Demographics
NPI:1568582914
Name:SELLARS, SEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:SELLARS
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 1:461 DEL PRADO BLVD S STE C
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-2681
Mailing Address - Country:US
Mailing Address - Phone:239-800-4149
Mailing Address - Fax:239-800-4152
Practice Address - Street 1:461 DEL PRADO BLVD S STE C
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-2681
Practice Address - Country:US
Practice Address - Phone:239-800-4149
Practice Address - Fax:239-800-4152
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8937111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0007005747OtherAETNA
FL1568582914OtherINTEGRAL QUALITY CARE
FL1568582914OtherHUMANA/CHOICE CARE
FL88749OtherBLUE CROSS / BLUE SHIELD
FL2837966OtherCIGNA
FL001208500Medicaid
FLU4199ZMedicare UPIN