Provider Demographics
NPI:1902801251
Name:CASEY, SEAN P (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:P
Last Name:CASEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5445 TELEGRAPH RD STE 115
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-3500
Mailing Address - Country:US
Mailing Address - Phone:314-416-4900
Mailing Address - Fax:314-487-4669
Practice Address - Street 1:5445 TELEGRAPH RD STE 115
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-3500
Practice Address - Country:US
Practice Address - Phone:314-416-4900
Practice Address - Fax:314-487-4669
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006147111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO230100037Medicaid
MOU48285OtherMERCY HEALTH PLANS
MO4422000OtherUNITED HEALTH CARE
MO230985OtherGREAT WEST
MO350032867OtherRAILROAD MEDICARE
MO5062OtherBLUE CROSS BLUE SHIELD
MO58803OtherCMR
MO107978OtherGHP
MO230985OtherHEALTHLINK