Healthcare Provider Details

I. General information

NPI: 1689548125
Provider Name (Legal Business Name): ALLIED CORRECTIONAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 W 2ND ST UNIT A
WAVERLY OH
45690-9433
US

IV. Provider business mailing address

PO BOX 14
URBANA OH
43078-0014
US

V. Phone/Fax

Practice location:
  • Phone: 937-629-7411
  • Fax: 937-365-9008
Mailing address:
  • Phone: 937-629-7411
  • Fax: 937-365-9008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SEAN STILTNER
Title or Position: MEDICAL DIRECTOR/OWNER
Credential: D.O.
Phone: 740-352-7733