Provider Demographics
NPI:1801912266
Name:MAAS, SEAN B (DC, CCSP)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:B
Last Name:MAAS
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 THORNBY RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-2229
Mailing Address - Country:US
Mailing Address - Phone:302-463-6033
Mailing Address - Fax:302-220-4498
Practice Address - Street 1:711 THORNBY RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-2229
Practice Address - Country:US
Practice Address - Phone:302-463-6033
Practice Address - Fax:302-220-4498
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000478111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor