Shelton, Nicolette R

Shelton, Nicolette R is an sole proprietor health care provider with primary practice located at 103 2Nd Ave , Chesapeake OH 45619-1134. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Shelton, Nicolette R can be contacted via phone (740) 451-7627.

Contact Information

Primary practice address
103 2Nd Ave Chesapeake OH 45619-1134
Phone: (740) 451-7627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X CDCA.174960 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.178713 Ohio

Profile Details

NPI number 1902414162
LBN Legal business name Shelton, Nicolette R
Credentials CDCA,QMHS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2020
Last updated Jun 6th, 2022 - about 2 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 1902414162 NPPES
Ohio MEDICAID 0423675

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