MEDICARE: SEAN D EARLY MD A MEDICAL CORPORATION

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	207XP3100X	Pediatric Orthopaedic Surgery Physician	A60507	CA

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

General Provider Information

NPI Number	:	1720259575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEAN D EARLY MD A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 9409
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-9409
Country	:	US
Telephone Number	:	805-963-3757
Fax Number	:	805-564-3332

Provider Business Practice Location Address
First Line	:	2417 CASTILLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4301
Country	:	US
Telephone Number	:	805-687-2424
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SEAN EARLY
Credential	:	MD
Telephone Number	:	805-687-2424

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	11/09/2015

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