Jeffrey L Shaw in Green Bay - Allergy & Immunology
Jeffrey L Shaw - NPI 1124083712
Jeffrey L Shaw is a Allergy & Immunology in Green Bay, Wisconsin. Jeffrey L Shaw practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Jeffrey L Shaw is 1124083712. The last update date is 2017-01-12.
Jeffrey L Shaw's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Jeffrey L Shaw is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey L Shaw |
|---|---|
| Address | Po Box 19070, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124083712 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2017-01-12 |
Provider Mailing Address Detail
| Address | Po Box 19070 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079070 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | 20844 |
|
Definition: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2324505 | OH | -- | |
| 1840670000 | WV | -- | |
| 64049158 | KY | -- |
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What is the unique 10-digit identifier code assigned to Jeffrey L Shaw by the Centers for Medicare & Medicaid Services?
The Jeffrey L Shaw has been issued the NPI (National Provider Identifier) 1124083712 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jeffrey L Shaw located?
The Jeffrey L Shaw is located at Po Box 19070, Green Bay, WI 543079070.
What is the Jeffrey L Shaw's specialty and taxonomy code?
The Jeffrey L Shaw's specialty is Allergy & Immunology, and the corresponding taxonomy code is 207K00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124083712 to Jeffrey L Shaw?
The Centers for Medicare & Medicaid Services assigned the 1124083712 to Jeffrey L Shaw on 2006-04-18.
As of what date were the Jeffrey L Shaw's details last updated?
The information pertaining to the Jeffrey L Shaw, including its address, specialty, and other details, was most recently updated on 2017-01-12.