Provider Demographics
NPI:1336773316
Name:SEAN D HAMPTON, DC, INC
Entity Type:Organization
Organization Name:SEAN D HAMPTON, DC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-387-4577
Mailing Address - Street 1:2625 S RAINBOW BLVD STE C102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5181
Mailing Address - Country:US
Mailing Address - Phone:702-387-4577
Mailing Address - Fax:
Practice Address - Street 1:2625 S RAINBOW BLVD STE C102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5181
Practice Address - Country:US
Practice Address - Phone:702-387-4577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty