MEDICARE: SEAN VAN HOUTEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146E00000X	Community Paramedic	043398	CO
2	146L00000X	Paramedic	043398	CO

General Provider Information

NPI Number	:	1427916840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN VAN HOUTEN

Provider Business Mailing Address
First Line	:	3248 WILD OAK CT
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-8606
Country	:	US
Telephone Number	:	303-523-7642
Fax Number	:	303-523-7642

Provider Business Practice Location Address
First Line	:	3248 WILD OAK CT
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-8606
Country	:	US
Telephone Number	:	303-523-7642
Fax Number	:	303-523-7642

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ SEAN VAN HOUTEN ” Practice Location

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