Krisan Shaw is a General Practice in Ellsworth, Wisconsin. Krisan Shaw practices all healthcare services and medical treatments related to General Practice. The NPI Number for Krisan Shaw is 1730219239. The last update date is 2014-03-18.
Krisan Shaw's current location address is Po Box 310, Ellsworth, Wisconsin. You can contact this provider via phone number 7152733700 and fax number 7152731700. The mailing address for Krisan Shaw is Po Box 310, Ellsworth, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krisan Shaw |
|---|---|
| Address | Po Box 310, Ellsworth, Wisconsin |
| Phone Number | 7152733700 |
| Fax Number | 7152731700 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1730219239 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2014-03-18 |
Provider Mailing Address Detail
| Address | Po Box 310 |
|---|---|
| City | Ellsworth |
| State | Wisconsin (WI) |
| Post Code | 54011 |
| Phone Number | 7152733700 |
| Fax Number | 7152731700 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5175-015 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Krisan Shaw by the Centers for Medicare & Medicaid Services?
The Krisan Shaw has been assigned the NPI (National Provider Identifier) 1730219239 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Krisan Shaw's physical address?
The Krisan Shaw is physically located at Po Box 310, in the city of Ellsworth, WI, with the postal code 54011.
What is Krisan Shaw's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Krisan Shaw is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When did Krisan Shaw receive its 1730219239 assignment?
The Krisan Shaw was assigned its 1730219239 on 2007-03-06, which is the date when this unique identifier was issued to the organization.
When was the information regarding Krisan Shaw, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Krisan Shaw, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-03-18.