Shaw, Bradley J

Shaw, Bradley J is an individual health care provider with primary practice located at 216 N 2Nd St Ste 5 , Clearfield PA 16830-2547. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Shaw, Bradley J can be contacted via phone (814) 205-4025.

Contact Information

Primary practice address
216 N 2Nd St Ste 5 Clearfield PA 16830-2547
Phone: (814) 205-4025
Fax: (814) 240-6632
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP022269 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP017631 Pennsylvania

Profile Details

NPI number 1942721592
LBN Legal business name Shaw, Bradley J
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2017
Last updated Mar 23rd, 2021 - about 3 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.

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