Shanahan, George Daniel

Shanahan, George Daniel is an individual health care provider with primary practice located at 9640 Commerce Rd Ste 102 , Commerce Twp MI 48382-4167. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Shanahan, George Daniel can be contacted via phone (248) 360-3888.

Contact Information

Primary practice address
9640 Commerce Rd Ste 102 Commerce Twp MI 48382-4167
Phone: (248) 360-3888
Fax: (248) 363-0894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X GDS001605 Michigan

Profile Details

NPI number 1003818907
LBN Legal business name Shanahan, George Daniel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 19th, 2011 - about 13 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 1003818907 NPPES
Other 38-3128264 TAX ID
Other 130147 TAX ID
Other GDS001605 TAX ID
Other 5631126 TAX ID
Other U43179 TAX ID
MEDICAID 297370213 TAX ID
Other 4778520001 TAX ID

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