Shaw, Andrea B
Shaw, Andrea B is an individual health care provider with primary practice located at 8705 Perimeter Park Blvd Suite 6, Jacksonville FL 32216-6344. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Shaw, Andrea B can be contacted via phone (904) 997-1349.Contact Information
Primary practice address
8705 Perimeter Park Blvd Suite 6
Jacksonville FL 32216-6344
Phone: (904) 997-1349
Fax: (904) 997-1369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH8019 | Florida |
Profile Details
| NPI number | 1518931849 |
|---|---|
| LBN Legal business name | Shaw, Andrea B |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Oct 3rd, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518931849 | NPPES |
| Florida | Other | CH8019 | CHIROPRACTIC LICENSE |
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