Jeffrey L Shaw is a Pediatrics in Green Bay, Wisconsin. Jeffrey L Shaw practices all healthcare services and medical treatments related to Pediatrics. 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 |
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Address | Po Box 19070, Green Bay, Wisconsin |
Phone Number | 9204964700 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1124083712 |
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Provider Enumeration Date | 2006-04-18 |
Last Updated Date | 2017-01-12 |
Provider Mailing Address Detail
Address | Po Box 19070 |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543079070 |
Phone Number | 9204964700 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | 20884 |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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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 Pediatrics, and the corresponding taxonomy code is 208000000X.
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.