Shilling, Jay Richard

Shilling, Jay Richard is an sole proprietor health care provider with primary practice located at 1416 S Roan St Oaks Castle Clinic, Johnson City TN 37601-7332. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shilling, Jay Richard can be contacted via phone (423) 979-6257.

Contact Information

Primary practice address
1416 S Roan St Oaks Castle Clinic Johnson City TN 37601-7332
Phone: (423) 979-6257
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW00091 Tennessee

Profile Details

NPI number 1063403533
LBN Legal business name Shilling, Jay Richard
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1063403533 NPPES
Other 47574 CIGNA
Other 5426182 CIGNA

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