Shaller, David A

Shaller, David A is an individual health care provider with primary practice located at 71 Hospital Drive , Towanda PA 18848-9706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Shaller, David A can be contacted via phone (570) 265-6300.

Contact Information

Primary practice address
71 Hospital Drive Towanda PA 18848-9706
Phone: (570) 265-6300
Fax: (570) 268-2807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD030260E Pennsylvania
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD030260E Pennsylvania

Profile Details

NPI number 1831445550
LBN Legal business name Shaller, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2012
Last updated Nov 6th, 2012 - about 12 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 1831445550 NPPES
Pennsylvania MEDICAID 0014906210004

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