Douglas E Shaw in Traverse City - Chiropractor
Douglas E Shaw - NPI 1437171741
Douglas E Shaw is a Chiropractor in Traverse City, Michigan. Douglas E Shaw practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Douglas E Shaw is 1437171741. The last update date is 2017-01-18.
Douglas E Shaw's current location address is 515 W 14th St, Traverse City, Michigan. You can contact this provider via phone number 2319415010. The mailing address for Douglas E Shaw is 515 W 14th St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas E Shaw |
|---|---|
| Address | 515 W 14th St, Traverse City, Michigan |
| Phone Number | 2319415010 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1437171741 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2017-01-18 |
Provider Mailing Address Detail
| Address | 515 W 14th St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496844059 |
| Phone Number | 2319415010 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DS004118 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 950B850130 | MI | BCBS ID |
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What is the Douglas E Shaw's 1437171741?
The Douglas E Shaw's NPI (National Provider Identifier) Number is 1437171741. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Douglas E Shaw located?
The Douglas E Shaw is located at 515 W 14Th St, Traverse City, MI 496844059.
What is the Douglas E Shaw's specialty and taxonomy code?
The Douglas E Shaw's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1437171741 to Douglas E Shaw?
The Douglas E Shaw received its 1437171741 assignment from the Centers for Medicare & Medicaid Services on 2006-07-24.
As of what date were the details pertaining to Douglas E Shaw last refreshed?
The information related to the Douglas E Shaw, including its address, specialty, and other relevant details, was last updated on 2017-01-18.