Daley, Shane M

Daley, Shane M is an individual health care provider with primary practice located at 1313 E Osborn Rd Ste 150 , Phoenix AZ 85014-5688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Daley, Shane M can be contacted via phone (602) 264-4431.

Contact Information

Primary practice address
1313 E Osborn Rd Ste 150 Phoenix AZ 85014-5688
Phone: (602) 264-4431
Fax: (602) 266-3870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 34654 Arizona

Profile Details

NPI number 1902883838
LBN Legal business name Daley, Shane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 21st, 2022 - about 2 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 1902883838 NPPES
Arizona Other P00624719 RAILROAD MEDICARE
Arizona MEDICAID 345840 RAILROAD MEDICARE
Arizona Other P01819220 RAILROAD MEDICARE
Arizona Other Z197365 RAILROAD MEDICARE

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