Shanesy, Charles

Shanesy, Charles is an individual health care provider with primary practice located at 3817 Colonel Glenn Hwy , Beavercreek OH 45324. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Shanesy, Charles can be contacted via phone (937) 427-9200.

Contact Information

Primary practice address
3817 Colonel Glenn Hwy Beavercreek OH 45324
Phone: (937) 427-9200
Fax: (513) 755-3762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1770034738
LBN Legal business name Shanesy, Charles
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2016
Last updated Aug 22nd, 2019 - about 7 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 1770034738 NPPES
Ohio Other AB7360731 MEDICARE PIN
Ohio MEDICAID 2187155 MEDICARE PIN

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