Vitale, Dana Shawn
Vitale, Dana Shawn is an individual health care provider with primary practice located at 3269 Stockton Hill Rd , Kingman AZ 86409-3619. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Vitale, Dana Shawn can be contacted via phone (928) 757-0645.Contact Information
Primary practice address
3269 Stockton Hill Rd
Kingman AZ 86409-3619
Phone: (928) 757-0645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine | 204R00000X | DO1275 | Alabama |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 21883 | Mississippi |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 067626 | Georgia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4124 | Arizona |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5514 | Oklahoma |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS11719 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4124 | Arizona |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DO1678 | Nevada |
Profile Details
| NPI number | 1164450524 |
|---|---|
| LBN Legal business name | Vitale, Dana Shawn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 13th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164450524 | NPPES |
| Arizona | MEDICAID | 971649 |
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