Gurley, Shawn

Gurley, Shawn is an sole proprietor health care provider with primary practice located at 809 W Vine St , Lima OH 45804-1054. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Gurley, Shawn can be contacted via phone (419) 222-4474.

Contact Information

Primary practice address
809 W Vine St Lima OH 45804-1054
Phone: (419) 222-4474
Fax: (419) 222-7044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X 1336522671 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1336522671 Ohio

Profile Details

NPI number 1336522671
LBN Legal business name Gurley, Shawn
Credentials B.S. CDCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2015
Last updated Feb 16th, 2023 - about last year

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 1336522671 NPPES
Ohio MEDICAID 1336522671

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