Provider Demographics
NPI:1134274509
Name:GREER, SEAN WILLIAM (CO)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:WILLIAM
Last Name:GREER
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ALPHA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2908
Mailing Address - Country:US
Mailing Address - Phone:412-599-1138
Mailing Address - Fax:412-599-1130
Practice Address - Street 1:300 ALPHA DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2908
Practice Address - Country:US
Practice Address - Phone:412-599-1138
Practice Address - Fax:412-599-1130
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
224P00000X
PAOH000076222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7795273Medicaid