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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356672794 NPPES
Michigan MEDICAID 13566727944

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