Shaw, Christopher Joseph

Shaw, Christopher Joseph is an sole proprietor health care provider with primary practice located at 17 Prince Street Unit 2, Jamaica Plain MA 02130. He recently has 4 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Hospital Units / Rehabilitation, Substance Use Disorder Unit is his primary health care specialty. Shaw, Christopher Joseph can be contacted via phone (857) 928-6195.

Contact Information

Primary practice address
17 Prince Street Unit 2 Jamaica Plain MA 02130
Phone: (857) 928-6195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 205807 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 205807 Massachusetts
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 205807 Massachusetts

Profile Details

NPI number 1316080195
LBN Legal business name Shaw, Christopher Joseph
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Sep 7th, 2012 - about 13 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 1316080195 NPPES
Rhode Island MEDICAID 1316080195

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