Shader, Alan Fred

Shader, Alan Fred is an sole proprietor health care provider with primary practice located at 3800 West 12Th Ave , Hialeah FL 33012. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Shader, Alan Fred can be contacted via phone (305) 681-2600.

Contact Information

Primary practice address
3800 West 12Th Ave Hialeah FL 33012
Phone: (305) 681-2600
Fax: (305) 685-5098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO001468 Florida

Profile Details

NPI number 1659481620
LBN Legal business name Shader, Alan Fred
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Mar 7th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659481620 NPPES
Colorado MEDICAID 9000141973
Colorado Other P01770676
Colorado MEDICAID 0410985000

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