Shaw, Christopher Joel

Shaw, Christopher Joel is an sole proprietor health care provider with primary practice located at 11800 Ne 128Th St Suite 300, Kirkland WA 98034-7208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shaw, Christopher Joel can be contacted via phone (425) 814-5100.

Contact Information

Primary practice address
11800 Ne 128Th St Suite 300 Kirkland WA 98034-7208
Fax: (425) 814-5103
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60124508 Washington

Profile Details

NPI number 1407179690
LBN Legal business name Shaw, Christopher Joel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2010
Last updated Feb 9th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407179690 NPPES
Washington Other P00946049 RAILROAD MEDICARE
Washington Other 0260915 RAILROAD MEDICARE
Washington MEDICAID 1407179690 RAILROAD MEDICARE

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