Shirley, Georgeanna Jane
Shirley, Georgeanna Jane is an individual health care provider with primary practice located at 801 Space Dr , Beavercreek OH 45434-7162. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shirley, Georgeanna Jane can be contacted via phone (937) 431-3870.Contact Information
Primary practice address
801 Space Dr
Beavercreek OH 45434-7162
Phone: (937) 431-3870
Fax: (937) 431-3871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E002330 | Ohio |
Profile Details
| NPI number | 1659436582 |
|---|---|
| LBN Legal business name | Shirley, Georgeanna Jane |
| Credentials | LPCC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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