Shaw, Donald D

Shaw, Donald D is an individual health care provider with primary practice located at 32-36 Central Ave , Wellsboro PA 16901-1840. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Shaw, Donald D can be contacted via phone (570) 723-0140.

Contact Information

Primary practice address
32-36 Central Ave Wellsboro PA 16901-1840
Phone: (570) 723-0140
Fax: (570) 724-6541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X OS004233L Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X OS004233L Pennsylvania

Profile Details

NPI number 1174531461
LBN Legal business name Shaw, Donald D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Apr 16th, 2008 - about 16 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 1174531461 NPPES
Pennsylvania Other 217744 UPMC
Pennsylvania MEDICAID 0007174090001 UPMC
Pennsylvania Other SH145926 UPMC

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