Sweeney, Jonathan Robert

Sweeney, Jonathan Robert is an sole proprietor health care provider with primary practice located at 323 Marion Pike Ste 1 , Coal Grove OH 45638-2958. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Sweeney, Jonathan Robert can be contacted via phone (740) 237-4981.

Contact Information

Primary practice address
323 Marion Pike Ste 1 Coal Grove OH 45638-2958
Phone: (740) 237-4981
Fax: (877) 325-2816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0007894 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X APS.003848 Ohio

Profile Details

NPI number 1801501978
LBN Legal business name Sweeney, Jonathan Robert
Credentials CDCA.184491
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2023
Last updated Jun 7th, 2023 - about last year

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 1801501978 NPPES
Ohio MEDICAID 0007894

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