Rockett, Sean Dale

Rockett, Sean Dale is an individual health care provider with primary practice located at 3351 Eastbrook Dr Ste 200 , Fort Collins CO 80525-5744. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Rockett, Sean Dale can be contacted via phone (888) 374-5066.

Contact Information

Primary practice address
3351 Eastbrook Dr Ste 200 Fort Collins CO 80525-5744
Phone: (888) 374-5066
Fax: (719) 623-0165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05097 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA05097 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0005304 Colorado

Profile Details

NPI number 1215093539
LBN Legal business name Rockett, Sean Dale
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jan 18th, 2024 - about 2 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

StateTypeNumberIssuer
All States NPI 1215093539 NPPES
Texas MEDICAID 316837902

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