Provider Demographics
NPI:1790875508
Name:SALAZAR, SEAN C (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:C
Last Name:SALAZAR
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 1:8988 S SHERIDAN RD STE C
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5035
Mailing Address - Country:US
Mailing Address - Phone:918-340-7871
Mailing Address - Fax:918-340-7910
Practice Address - Street 1:8988 S SHERIDAN RD STE C
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5035
Practice Address - Country:US
Practice Address - Phone:918-340-7871
Practice Address - Fax:918-340-7910
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034408111N00000X
OK4398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor