Shaw, Michael N

Shaw, Michael N is an individual health care provider with primary practice located at 2600 N Woodlawn St , Wichita KS 67220-2729. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Shaw, Michael N can be contacted via phone (316) 684-3838.

Contact Information

Primary practice address
2600 N Woodlawn St Wichita KS 67220-2729
Phone: (316) 684-3838
Fax: (316) 858-2521
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-00115 Kansas

Profile Details

NPI number 1063482917
LBN Legal business name Shaw, Michael N
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Sep 17th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063482917 NPPES
Kansas MEDICAID 100004660C

Popular Providers