Provider Demographics
NPI:1356415848
Name:BILLINGS, SEAN P (DC)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:P
Last Name:BILLINGS
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 1:2121 N WEBER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6970
Mailing Address - Country:US
Mailing Address - Phone:719-473-0399
Mailing Address - Fax:719-493-9023
Practice Address - Street 1:2121 N WEBER ST STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6970
Practice Address - Country:US
Practice Address - Phone:719-473-0399
Practice Address - Fax:719-493-9023
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5225111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC452768Medicare ID - Type Unspecified
COU452768Medicare UPIN