Boney, Justin

Boney, Justin is an individual health care provider with primary practice located at 3445 S Main St , Coventry Township OH 44319-3028. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Boney, Justin can be contacted via phone (330) 644-4095.

Contact Information

Primary practice address
3445 S Main St Coventry Township OH 44319-3028
Phone: (330) 644-4095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X E.2002048 Ohio

Profile Details

NPI number 1205292521
LBN Legal business name Boney, Justin
Credentials LPCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2016
Last updated Jun 2nd, 2022 - about 3 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 1205292521 NPPES
Ohio MEDICAID 2901131

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