Shealy, John

Shealy, John is an individual health care provider with primary practice located at 118 Stover Dr , Delaware OH 43015-8601. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Shealy, John can be contacted via phone (740) 369-6811.

Contact Information

Primary practice address
118 Stover Dr Delaware OH 43015-8601
Phone: (740) 369-6811
Fax: (740) 363-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X I0018420SUPV Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I0018420SUPV Ohio

Profile Details

NPI number 1508209834
LBN Legal business name Shealy, John
Credentials LISW, LICDC-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated Apr 17th, 2013 - about 11 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 1508209834 NPPES
Ohio MEDICAID 2901088

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