Mary M Shaw is a Professional in Quincy, Illinois. Mary M Shaw practices all healthcare services and medical treatments related to Professional. The NPI Number for Mary M Shaw is 1124210596. The last update date is 2007-08-09.
Mary M Shaw's current location address is 915 Vermont St, Quincy, Illinois. You can contact this provider via phone number 2172228245 and fax number 2172224512. The mailing address for Mary M Shaw is 915 Vermont St, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary M Shaw |
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Address | 915 Vermont St, Quincy, Illinois |
Phone Number | 2172228245 |
Fax Number | 2172224512 |
Sole Proprietor | N |
Credentials | LPC |
NPI Number Detail
NPI Number | 1124210596 |
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Provider Enumeration Date | 2007-08-09 |
Last Updated Date | 2007-08-09 |
Provider Mailing Address Detail
Address | 915 Vermont St |
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City | Quincy |
State | Illinois (IL) |
Post Code | 623013049 |
Phone Number | 2172228245 |
Fax Number | 2172224512 |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
132022 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Mary M Shaw by the Centers for Medicare & Medicaid Services?
The Mary M Shaw has been issued the NPI (National Provider Identifier) 1124210596. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary M Shaw is physically located?
The Mary M Shaw is physically situated at the following address: 915 Vermont St, Quincy, IL, 623013049.
What is Mary M Shaw's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary M Shaw is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date was the 1124210596 assigned to Mary M Shaw?
The Mary M Shaw was issued its 1124210596 on 2007-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary M Shaw most recently updated?
The details pertaining to the Mary M Shaw, including its address, specialty, and other relevant information, were last refreshed on 2007-08-09.
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