MEDICARE: DR. SEAN EVERETTE CHARTIER DC

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	111N00000X	Chiropractor	06891	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	I21041	OTHER	IA	GROUP MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1316955594	OTHER	IA	PROVIDER NPI
4	1982896353	OTHER	IA	GROUP NPI

General Provider Information

NPI Number	:	1316955594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN EVERETTE CHARTIER DC

Provider Business Mailing Address
First Line	:	2601 APACHE CT
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-1504
Country	:	US
Telephone Number	:	712-277-9355
Fax Number	:	712-277-9366

Provider Business Practice Location Address
First Line	:	2601 APACHE CT
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-1504
Country	:	US
Telephone Number	:	712-277-9355
Fax Number	:	712-277-9366

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/23/2021

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Directions to “ DR. SEAN EVERETTE CHARTIER DC” Practice Location

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