Wallis, Shain S

Wallis, Shain S is an individual health care provider with primary practice located at 5100 West Taft Rd Ste 2A, Liverpool NY 13088. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wallis, Shain S can be contacted via phone (315) 452-2666.

Contact Information

Primary practice address
5100 West Taft Rd Ste 2A Liverpool NY 13088
Phone: (315) 452-2666
Fax: (315) 452-2669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 264957 New York

Profile Details

NPI number 1356653729
LBN Legal business name Wallis, Shain S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Jan 29th, 2024 - about 10 months 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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