Shaw, John C

Shaw, John C is an individual health care provider with primary practice located at 220 Abraham Flexner Way Suite 1100, Louisville KY 40202-3826. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shaw, John C can be contacted via phone (502) 584-3377.

Contact Information

Primary practice address
220 Abraham Flexner Way Suite 1100 Louisville KY 40202-3826
Phone: (502) 584-3377
Fax: (502) 584-1385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01035377A Indiana
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01035377A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24102 Kentucky

Profile Details

NPI number 1629042197
LBN Legal business name Shaw, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jan 11th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629042197 NPPES
Kentucky Other 000000048660 ANTHEM
Kentucky Other 1050654 ANTHEM
Kentucky Other 2432935000 ANTHEM
Kentucky Other 250002297 ANTHEM
Kentucky Other 61-1086535 ANTHEM
Kentucky MEDICAID 64241029 ANTHEM
Kentucky MEDICAID 100359260 ANTHEM
Kentucky Other P00003389 ANTHEM

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