Shaw, Hollis Earl
Shaw, Hollis Earl is an individual health care provider with primary practice located at 6242 E Arbor Ave Suite 116, Mesa AZ 85206-1309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Shaw, Hollis Earl can be contacted via phone (480) 668-7060.Contact Information
Primary practice address
6242 E Arbor Ave Suite 116
Mesa AZ 85206-1309
Phone: (480) 668-7060
Fax: (480) 668-5815
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 15515 | Arizona |
Profile Details
NPI number | 1104890680 |
---|---|
LBN Legal business name | Shaw, Hollis Earl |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2006 |
Last updated | Jan 15th, 2016 - about 8 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 | 1104890680 | NPPES |
Arizona | MEDICAID | 170879 |
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