Healey, Sean Christopher
Healey, Sean Christopher is an individual health care provider with primary practice located at 1201 Summit Ave , Fort Worth TX 76102-4427. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Healey, Sean Christopher can be contacted via phone (817) 332-2020.Contact Information
Primary practice address
1201 Summit Ave
Fort Worth TX 76102-4427
Phone: (817) 332-2020
Fax: (817) 332-4797
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 05126TG | Texas |
Profile Details
NPI number | 1437155462 |
---|---|
LBN Legal business name | Healey, Sean Christopher |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2005 |
Last updated | Nov 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437155462 | NPPES |
Texas | MEDICAID | 038606201 | |
Texas | Other | 81274E |
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