Shaw, Daniel Woodson

Shaw, Daniel Woodson is an individual health care provider with primary practice located at 200 West Arbor Dr Ucsd Medical Center - Dermatology - Mc 8420, San Diego CA 92103-8420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Shaw, Daniel Woodson can be contacted via phone (619) 543-3626.

Contact Information

Primary practice address
200 West Arbor Dr Ucsd Medical Center - Dermatology - Mc 8420 San Diego CA 92103-8420
Phone: (619) 543-3626
Fax: (619) 741-6655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G59947 California

Profile Details

NPI number 1578515441
LBN Legal business name Shaw, Daniel Woodson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1578515441 NPPES
California MEDICAID 00G599470

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