Nelligan, Sean Patrick

Nelligan, Sean Patrick is an sole proprietor health care provider with primary practice located at 3410 Healy Dr Ste. 202, Winston Salem NC 27103-1403. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nelligan, Sean Patrick can be contacted via phone (336) 817-3396.

Contact Information

Primary practice address

3410 Healy Dr Ste. 202 Winston Salem NC 27103-1403

Phone: (336) 817-3396

Fax: (336) 217-8809

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical	1041C0700X	C000741	North Carolina

Profile Details

NPI number	1578549853
LBN Legal business name	Nelligan, Sean Patrick
Credentials	L.C.S.W., A.C.S.W.,
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Dec 19th, 2005
Last updated	Dec 14th, 2015 - about 11 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1578549853	NPPES
North Carolina	MEDICAID	6002239
North Carolina	Other	5858K

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