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Contact Information

ALAN F SHADER, DPM
3800 WEST 12TH AVE
HIALEAH, FL33012
 Phone: 305-681-2600
 Fax: 305-685-5098
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALAN F SHADER · (Male)

NPI Number 1659481620
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/30/2006
Last updated 03/07/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO001468
  • CO Medicaid 9000141973
  • FL Medicaid 0410985000
  • CO Other P01770676 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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