Jonathan F Shaver in Fayetteville - Pediatrics
Jonathan F Shaver - NPI 1790764454
Jonathan F Shaver is a Pediatrics in Fayetteville, Arkansas. Jonathan F Shaver practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jonathan F Shaver is 1790764454. The last update date is 2012-09-11.
Jonathan F Shaver's current location address is 594 E Millsap, Fayetteville, Arkansas. You can contact this provider via phone number 4794422020 and fax number 4795213988. The mailing address for Jonathan F Shaver is 594 E Millsap, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan F Shaver |
|---|---|
| Address | 594 E Millsap, Fayetteville, Arkansas |
| Phone Number | 4794422020 |
| Fax Number | 4795213988 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1790764454 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2012-09-11 |
Provider Mailing Address Detail
| Address | 594 E Millsap |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727032801 |
| Phone Number | 4794422020 |
| Fax Number | 4795213988 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 152Wp0200X |
| Licence No | 2549 |
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Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 157556722 | AR | -- |
Post Comment/ Review Below
What is the Jonathan F Shaver's unique identification number?
The Jonathan F Shaver has been assigned the NPI (National Provider Identifier) Number 1790764454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jonathan F Shaver?
The Jonathan F Shaver is physically situated at 594 E Millsap, in the city of Fayetteville, state of AR, with the postal code 727032801.
What is Jonathan F Shaver's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jonathan F Shaver's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 152Wp0200X.
On what date did the Jonathan F Shaver receive the assignment of its 1790764454 from the Centers for Medicare & Medicaid Services?
The Jonathan F Shaver was issued its 1790764454 by the Centers for Medicare & Medicaid Services on 2006-01-11.
When was the information regarding Jonathan F Shaver, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jonathan F Shaver, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-09-11.
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