Provider Demographics
NPI:1013263276
Name:ENGLEHART, SEAN MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:MICHAEL
Last Name:ENGLEHART
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 1:2611 HAMPDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-1010
Mailing Address - Country:US
Mailing Address - Phone:484-797-5398
Mailing Address - Fax:
Practice Address - Street 1:2611 HAMPDEN BLVD
Practice Address - Street 2:APT G
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-1010
Practice Address - Country:US
Practice Address - Phone:484-797-5398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor