Shealy, John Steven
Shealy, John Steven is an individual health care provider with primary practice located at 13402-D Thomasville Cir , Tampa FL 33617-9528. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shealy, John Steven can be contacted via phone (813) 980-2700.Contact Information
Primary practice address
13402-D Thomasville Cir
Tampa FL 33617-9528
Phone: (813) 980-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY4777 | Florida |
Profile Details
| NPI number | 1710936711 |
|---|---|
| LBN Legal business name | Shealy, John Steven |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710936711 | NPPES |
| Florida | Other | 59569 | BLUE CROSS BLUE SHIELD ID |
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