Shaw, David Joseph

Shaw, David Joseph is an individual health care provider with primary practice located at 5955 Zeamer Ave 673D Mdg, Jber Elmendorf Afb AK 99506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Shaw, David Joseph can be contacted via phone (907) 580-1011.

Contact Information

Primary practice address
5955 Zeamer Ave 673D Mdg Jber Elmendorf Afb AK 99506
Phone: (907) 580-1011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 005570 Arizona
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 005570 Arizona

Profile Details

NPI number 1033348792
LBN Legal business name Shaw, David Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Sep 7th, 2016 - 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 1033348792 NPPES
Alaska MEDICAID 1648361

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