Shaw, Justin M

Shaw, Justin M is an individual health care provider with primary practice located at 485 Royer Drive Suite 103, Lancaster PA 17601-5102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Shaw, Justin M can be contacted via phone (717) 560-4020.

Contact Information

Primary practice address
485 Royer Drive Suite 103 Lancaster PA 17601-5102
Phone: (717) 560-4020
Fax: (717) 560-2919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X MD454562 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD454562 Pennsylvania

Profile Details

NPI number 1528387438
LBN Legal business name Shaw, Justin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2010
Last updated Dec 8th, 2020 - 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 1528387438 NPPES
Pennsylvania MEDICAID 1030216600001

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