Shaw, Nancy Jan
Shaw, Nancy Jan is an sole proprietor health care provider with primary practice located at 14406 Ne 20Th Ave , Vancouver WA 98686-1448. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Shaw, Nancy Jan can be contacted via phone (360) 571-3139.Contact Information
Primary practice address
14406 Ne 20Th Ave
Vancouver WA 98686-1448
Phone: (360) 571-3139
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | D160046146 | Washington |
Profile Details
| NPI number | 1902150733 |
|---|---|
| LBN Legal business name | Shaw, Nancy Jan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2012 |
| Last updated | Oct 31st, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902150733 | NPPES |
| Washington | Other | D1 60046146 | DEPARTMENT OF HEALTH |
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