Doctor Name: | SEAN PATRICK MAHONEY |
NPI Number: | 1609966191 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.D. |
License Number: | 006-0000779 |
Business Practice Address: | 150 Water Tower Circle Suite 203 Colchester, VT - 05446 |
Business Phone Number: | 8026552664 |
Business Fax Number: | 8026558260 |
Mailing Address: | 324 Ledgewood Lane, HINESBURG |
State: | TN |
Postal Code: | 05461 |
Phone Number: | 8024823631 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 006-0000779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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. |