Nally, Adam Shane

Nally, Adam Shane is an individual health care provider with primary practice located at 14800 W Mountain View Blvd Suite 250, Surprise AZ 85374-4795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nally, Adam Shane can be contacted via phone (623) 584-7805.

Contact Information

Primary practice address
14800 W Mountain View Blvd Suite 250 Surprise AZ 85374-4795
Phone: (623) 584-7805
Fax: (623) 584-7856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3587 Arizona

Profile Details

NPI number 1396784930
LBN Legal business name Nally, Adam Shane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 14th, 2020 - about 5 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 1396784930 NPPES
Arizona MEDICAID 704199
Arizona Other 1811186802

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