Provider Demographics
NPI:1750890950
Name:DR. ROBERT B. SHEELY, INC.
Entity type:Organization
Organization Name:DR. ROBERT B. SHEELY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:SHEELY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-217-7035
Mailing Address - Street 1:1002 N UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042-3300
Mailing Address - Country:US
Mailing Address - Phone:513-217-7035
Mailing Address - Fax:513-318-4973
Practice Address - Street 1:1002 N UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-3300
Practice Address - Country:US
Practice Address - Phone:513-217-7035
Practice Address - Fax:513-318-4973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-20
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty