Shaw, Charles Philip
Shaw, Charles Philip is an sole proprietor health care provider with primary practice located at 1054 Center Dr Ste 2 , Richmond KY 40475-3851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shaw, Charles Philip can be contacted via phone (859) 625-5242.Contact Information
Primary practice address
1054 Center Dr Ste 2
Richmond KY 40475-3851
Phone: (859) 625-5242
Fax: (859) 625-5279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 03139 | Kentucky |
Profile Details
| NPI number | 1417100223 |
|---|---|
| LBN Legal business name | Shaw, Charles Philip |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2008 |
| Last updated | Sep 14th, 2020 - about 4 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 | 1417100223 | NPPES |
| Kentucky | MEDICAID | 7100076180 |
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