Shaw, Michael D

Shaw, Michael D is an sole proprietor health care provider with primary practice located at 400 Hospital Rd , Starkville MS 39759-2163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Shaw, Michael D can be contacted via phone (662) 615-2503.

Contact Information

Primary practice address
400 Hospital Rd Starkville MS 39759-2163
Fax: (662) 615-2554
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 18567 Mississippi

Profile Details

NPI number 1235115056
LBN Legal business name Shaw, Michael D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Jul 1st, 2008 - about 16 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 1235115056 NPPES
Mississippi MEDICAID 04776258

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