Provider Demographics
NPI:1588669246
Name:HORVATH, SEAN A (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:A
Last Name:HORVATH
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 1:297 LINCOLNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-6960
Mailing Address - Country:US
Mailing Address - Phone:219-462-9199
Mailing Address - Fax:
Practice Address - Street 1:8500 BROADWAY
Practice Address - Street 2:STE A
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7055
Practice Address - Country:US
Practice Address - Phone:219-738-1925
Practice Address - Fax:219-736-9456
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001981A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN7756224OtherAETNA INSURANCE
IN7497853OtherCIGNA INSURANCE
IN5686145OtherFIRST HEALTH AND/OR CCN
IN000000389991OtherBC/BS
IN641843OtherACN
INP00187956Medicare ID - Type UnspecifiedRAILROAD MEDICARE
IN641843OtherACN
IN5686145OtherFIRST HEALTH AND/OR CCN