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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881760882 | NPPES |
| Arizona | Other | AZ0871340 | BCBS OF AZ |
| Arizona | MEDICAID | 260282 | BCBS OF AZ |
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