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:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1144200924 | NPPES |
| South Carolina | MEDICAID | QM0197 |
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