Provider Demographics
NPI:1861762577
Name:BRANNIGAN, SEAN CHRISTOPHER
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:CHRISTOPHER
Last Name:BRANNIGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 APEL AVE
Mailing Address - Street 2:
Mailing Address - City:ORELAND
Mailing Address - State:PA
Mailing Address - Zip Code:19075-1203
Mailing Address - Country:US
Mailing Address - Phone:267-419-8522
Mailing Address - Fax:
Practice Address - Street 1:830 TWINING RD
Practice Address - Street 2:SUITE #5
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025-1700
Practice Address - Country:US
Practice Address - Phone:267-419-8522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03434237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist