Mchale, Michael Shamus

Mchale, Michael Shamus is an individual health care provider with primary practice located at 40100 Highway 27 , Davenport FL 33837. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mchale, Michael Shamus can be contacted via phone (863) 422-4971.

Contact Information

Primary practice address
40100 Highway 27 Davenport FL 33837
Phone: (863) 422-4971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS6360 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS6360 Florida

Profile Details

NPI number 1568402485
LBN Legal business name Mchale, Michael Shamus
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 16th, 2020 - about 4 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 1568402485 NPPES
Florida Other 176502578 TRICARE
Florida Other 80772B TRICARE
Florida MEDICAID 375961000 TRICARE

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