Desmith, Shane

Desmith, Shane is an sole proprietor health care provider with primary practice located at 1500 Mckinley Ave , Niles OH 44446-3718. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Desmith, Shane can be contacted via phone (330) 953-3300.

Contact Information

Primary practice address
1500 Mckinley Ave Niles OH 44446-3718
Phone: (330) 953-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 0001988 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.2309105 Ohio

Profile Details

NPI number 1841705191
LBN Legal business name Desmith, Shane
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2017
Last updated Jun 6th, 2024 - about 5 months 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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