Shade, Daniel Anthony
Shade, Daniel Anthony is an individual health care provider with primary practice located at 490 E North Ave Suite 309, Pittsburgh PA 15212-4740. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Shade, Daniel Anthony can be contacted via phone (412) 442-2522.Contact Information
Primary practice address
490 E North Ave Suite 309
Pittsburgh PA 15212-4740
Phone: (412) 442-2522
Fax: (412) 442-2524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD054477L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | MD054477L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD054477L | Pennsylvania |
Profile Details
| NPI number | 1699738211 |
|---|---|
| LBN Legal business name | Shade, Daniel Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Oct 7th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699738211 | NPPES |
| Ohio | MEDICAID | 2181731 | |
| Ohio | MEDICAID | 6000337000 | |
| Ohio | MEDICAID | 0016776580004 |
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