Shealy, Sue E

Shealy, Sue E is an sole proprietor health care provider with primary practice located at 7 Gamecock Ave Suite 710, Charleston SC 29407-3379. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shealy, Sue E can be contacted via phone (843) 763-9005.

Contact Information

Primary practice address
7 Gamecock Ave Suite 710 Charleston SC 29407-3379
Phone: (843) 763-9005
Fax: (843) 763-9005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 730 South Carolina

Profile Details

NPI number 1144200924
LBN Legal business name Shealy, Sue E
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Aug 26th, 2010 - about 15 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 1144200924 NPPES
South Carolina MEDICAID QM0197

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