MEDICARE: DR. SEAN P CASEY 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	006147	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	350032867	OTHER	MO	RAILROAD MEDICARE

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
2	U48285	OTHER	MO	MERCY HEALTH PLANS
3	4422000	OTHER	MO	UNITED HEALTH CARE
4	230985	OTHER	MO	GREAT WEST
6	5062	OTHER	MO	BLUE CROSS BLUE SHIELD
7	58803	OTHER	MO	CMR
8	107978	OTHER	MO	GHP
9	230985	OTHER	MO	HEALTHLINK

General Provider Information

NPI Number	:	1902801251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN P CASEY DC

Provider Business Mailing Address
First Line	:	5445 TELEGRAPH RD STE 115
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-3500
Country	:	US
Telephone Number	:	314-416-4900
Fax Number	:	314-487-4669

Provider Business Practice Location Address
First Line	:	5445 TELEGRAPH RD STE 115
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-3500
Country	:	US
Telephone Number	:	314-416-4900
Fax Number	:	314-487-4669

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	12/13/2023

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Directions to “ DR. SEAN P CASEY DC” Practice Location

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