Shaw, Christian
Shaw, Christian is an sole proprietor health care provider with primary practice located at 3014 E Camelback Rd Ste 741 , Phoenix AZ 85016-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Shaw, Christian can be contacted via phone (480) 455-0462.Contact Information
Primary practice address
3014 E Camelback Rd Ste 741
Phoenix AZ 85016-4404
Phone: (480) 455-0462
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 49232 | Arizona |
Profile Details
NPI number | 1205114816 |
---|---|
LBN Legal business name | Shaw, Christian |
Credentials | M.D., PH.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2011 |
Last updated | Jun 12th, 2023 - about 2 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 | 1205114816 | NPPES |
New Mexico | MEDICAID | 12653055 |
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