Shaw, Gerald P

Shaw, Gerald P is an sole proprietor health care provider with primary practice located at 18301 N 79Th Ave Ste C126, Glendale AZ 85308-8463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Shaw, Gerald P can be contacted via phone (623) 486-3346.

Contact Information

Primary practice address
18301 N 79Th Ave Ste C126 Glendale AZ 85308-8463
Phone: (623) 486-3346
Fax: (623) 486-3747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 10342 Arizona

Profile Details

NPI number 1881760882
LBN Legal business name Shaw, Gerald P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Feb 16th, 2009 - about 15 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 1881760882 NPPES
Arizona Other AZ0871340 BCBS OF AZ
Arizona MEDICAID 260282 BCBS OF AZ

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