Provider Demographics
NPI:1598117806
Name:SEAN HASSINGER MD INC
Entity Type:Organization
Organization Name:SEAN HASSINGER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HASSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-860-8335
Mailing Address - Street 1:2805 DALLAS PKWY
Mailing Address - Street 2:SUITE 640
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8719
Mailing Address - Country:US
Mailing Address - Phone:214-277-3404
Mailing Address - Fax:
Practice Address - Street 1:6125 PASEO DEL NORTE
Practice Address - Street 2:SUITE 110
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-1117
Practice Address - Country:US
Practice Address - Phone:214-277-3404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty