Shaw, Justin Tyler

Shaw, Justin Tyler is an individual health care provider with primary practice located at 368 N Greenville Ave , Allen TX 75002-2232. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Shaw, Justin Tyler can be contacted via phone (972) 396-6975.

Contact Information

Primary practice address
368 N Greenville Ave Allen TX 75002-2232
Phone: (972) 396-6975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT7790 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Texas

Profile Details

NPI number 1376045054
LBN Legal business name Shaw, Justin Tyler
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2018
Last updated Oct 14th, 2020 - about 4 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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