| Sean Mary, DC | |
|
455 Delta Ave Ste 1, Cincinnati, OH 45226-1178 | |
| (513) 321-8484 | |
| (513) 321-3676 |
| Full Name | Sean Mary |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 455 Delta Ave Ste 1, Cincinnati, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316750326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC-05432 (Ohio) | Primary |
| Provider Name | Mt. Lookout Chiropractic Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346369295 PECOS PAC ID: 1456384866 Enrollment ID: O20050915001097 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Mary, DC 455 Delta Ave Ste 1, Cincinnati, OH 45226-1178 Ph: (513) 321-8484 | Sean Mary, DC 455 Delta Ave Ste 1, Cincinnati, OH 45226-1178 Ph: (513) 321-8484 |
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