Doctor Name: | DR. SEAN P KONRAD |
NPI Number: | 1295960888 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | DC010897 |
Business Practice Address: | 205 Main St Ridgway, PA - 158531015 |
Business Phone Number: | 8147726903 |
Business Fax Number: | 5856726179 |
Mailing Address: | 205 Main St, RIDGWAY |
State: | PA |
Postal Code: | 158531015 |
Phone Number: | 8147726903 |
Fax Number: | 5856726179 |
NPI Enumeration Date: | 05/26/2009 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC010897 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |