Shaw, Robert

Shaw, Robert is an individual health care provider with primary practice located at 3555 S National Ave , Springfield MO 65807-7310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Shaw, Robert can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3555 S National Ave Springfield MO 65807-7310
Phone: (417) 875-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2011008550 Missouri

Profile Details

NPI number 1508879412
LBN Legal business name Shaw, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Dec 27th, 2018 - about 7 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 1508879412 NPPES
Missouri MEDICAID 206536401

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