Shaw, Jacob Israel

Shaw, Jacob Israel is an individual health care provider with primary practice located at 789 Pine St , Burlington VT 05401-4924. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shaw, Jacob Israel can be contacted via phone (802) 864-0693.

Contact Information

Primary practice address
789 Pine St Burlington VT 05401-4924
Phone: (802) 864-0693
Fax: (028) 606-6138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036144497 Illinois

Profile Details

NPI number 1023497344
LBN Legal business name Shaw, Jacob Israel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2015
Last updated Feb 11th, 2021 - about 4 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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