Shaw, Jesse Daniel
Shaw, Jesse Daniel is an sole proprietor health care provider with primary practice located at 825 Se Bishop Blvd Ste 120 , Pullman WA 99163-5517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Shaw, Jesse Daniel can be contacted via phone (509) 332-2828.Contact Information
Primary practice address
825 Se Bishop Blvd Ste 120
Pullman WA 99163-5517
Phone: (509) 332-2828
Fax: (509) 334-7474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | O-1908 | Idaho |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | OP61106819 | Washington |
Profile Details
| NPI number | 1912293572 |
|---|---|
| LBN Legal business name | Shaw, Jesse Daniel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2011 |
| Last updated | Nov 16th, 2023 - about last year |
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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