Shealey, Brian R.

Shealey, Brian R. is an individual health care provider with primary practice located at 1547 Parkway Suite 100, Greenwood SC 29646-4081. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shealey, Brian R. can be contacted via phone (864) 229-7120.

Contact Information

Primary practice address
1547 Parkway Suite 100 Greenwood SC 29646-4081
Fax: (864) 229-5526
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2460 South Carolina

Profile Details

NPI number 1245344050
LBN Legal business name Shealey, Brian R.
Credentials LISW-CP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 9th, 2007 - about 17 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 1245344050 NPPES
South Carolina MEDICAID 421504

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