Omalley, Nolan Shawn

Omalley, Nolan Shawn is an individual health care provider with primary practice located at 5814 Graham Ave Ste 101 , Sumner WA 98390-2728. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Omalley, Nolan Shawn can be contacted via phone (253) 891-7093.

Contact Information

Primary practice address
5814 Graham Ave Ste 101 Sumner WA 98390-2728
Phone: (253) 891-7093
Fax: (253) 891-1033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT60962719 Washington

Profile Details

NPI number 1255987327
LBN Legal business name Omalley, Nolan Shawn
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2019
Last updated Aug 14th, 2019 - 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 1255987327 NPPES
Washington Other 60962719 PT LICENSE

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