Shaw, Jessica Rae
Shaw, Jessica Rae is an individual health care provider with primary practice located at 1000 N Lincoln Ave Sutie 2900, Oklahoma City OK 73104. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Shaw, Jessica Rae can be contacted via phone (405) 271-3652.Contact Information
Primary practice address
1000 N Lincoln Ave Sutie 2900
Oklahoma City OK 73104
Phone: (405) 271-3652
Fax: (405) 271-7522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 1644 | Oklahoma |
Profile Details
| NPI number | 1174805147 |
|---|---|
| LBN Legal business name | Shaw, Jessica Rae |
| Credentials | MS, RD, LD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2011 |
| Last updated | Apr 14th, 2016 - about 9 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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