Shaw, Jonathan Stephen
Shaw, Jonathan Stephen is an individual health care provider with primary practice located at 6401 Prairie St Ste 1700 , Norton Shores MI 49444-7843. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Shaw, Jonathan Stephen can be contacted via phone (231) 672-7944.Contact Information
Primary practice address
6401 Prairie St Ste 1700
Norton Shores MI 49444-7843
Phone: (231) 672-7944
Fax: (231) 672-7994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | EMC0002741 | Michigan |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 18596 | New Hampshire |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | EMC0002741 | Michigan |
Profile Details
| NPI number | 1356672794 |
|---|---|
| LBN Legal business name | Shaw, Jonathan Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2010 |
| Last updated | Aug 10th, 2023 - about 2 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 | 1356672794 | NPPES |
| Michigan | MEDICAID | 13566727944 |
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