Individual
DR. ROBERT B SHEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1002 N UNIVERSITY BLVD, MIDDLETOWN, OH 45042-3300
(513) 217-7035
(513) 318-4973
Mailing address
1002 N UNIVERSITY BLVD, MIDDLETOWN, OH 45042-3300
(513) 217-7035
(513) 318-4973
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
841
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010589
ANTHEM ID
OH
01
—
0841C01
HUMANA
OH
01
—
31-1021750
TAX ID
OH
01
—
311021750026
CARESOURCE
OH
05
—
L0437085
—
OH
Enumeration date
01/11/2007
Last updated
05/12/2020
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