Provider Demographics
NPI:1689548125
Name:ALLIED CORRECTIONAL SERVICES, LLC
Entity type:Organization
Organization Name:ALLIED CORRECTIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STILTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-352-7733
Mailing Address - Street 1:PO BOX 14
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-0014
Mailing Address - Country:US
Mailing Address - Phone:937-629-7411
Mailing Address - Fax:937-365-9008
Practice Address - Street 1:810 W 2ND ST UNIT A
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-9433
Practice Address - Country:US
Practice Address - Phone:937-629-7411
Practice Address - Fax:937-365-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty