Shaw, Rodney

Shaw, Rodney is an sole proprietor health care provider with primary practice located at 1401 Kempsville Rd Ste D , Chesapeake VA 23320-8316. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Shaw, Rodney can be contacted via phone (757) 366-0708.

Contact Information

Primary practice address
1401 Kempsville Rd Ste D Chesapeake VA 23320-8316
Fax: (757) 366-0709
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Virginia

Profile Details

NPI number 1114437647
LBN Legal business name Shaw, Rodney
Credentials SCCM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2017
Last updated Oct 11th, 2017 - 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 1114437647 NPPES
Virginia MEDICAID 1619399748

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