Shaw, David W

Shaw, David W is an individual health care provider with primary practice located at 3 W Olive St Ste 118 , Scranton PA 18508-2576. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Shaw, David W can be contacted via phone (570) 961-3823.

Contact Information

Primary practice address
3 W Olive St Ste 118 Scranton PA 18508-2576
Phone: (570) 961-3823
Fax: (570) 207-5988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X TE1003678 Pennsylvania

Profile Details

NPI number 1497261861
LBN Legal business name Shaw, David W
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2017
Last updated Jun 16th, 2018 - about 7 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 1497261861 NPPES
Pennsylvania Other RT003231 LICENSE

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