Provider Demographics
NPI:1801041629
Name:HESSELBACHER, SEAN E (MD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:E
Last Name:HESSELBACHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:850 KEMPSVILLE RD
Mailing Address - Street 2:STE 100G
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3920
Mailing Address - Country:US
Mailing Address - Phone:757-261-5977
Mailing Address - Fax:757-275-9913
Practice Address - Street 1:850 KEMPSVILLE RD
Practice Address - Street 2:STE 100G
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3920
Practice Address - Country:US
Practice Address - Phone:757-261-5977
Practice Address - Fax:757-275-9913
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2012-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10029260207RP1001X
VA0101250532207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVV3273AMedicare PIN