Shaw, Scott

Shaw, Scott is an individual health care provider with primary practice located at 22 Tompkins St , Waterbury CT 06708-1458. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Shaw, Scott can be contacted via phone (203) 419-0381.

Contact Information

Primary practice address
22 Tompkins St Waterbury CT 06708-1458
Phone: (203) 419-0381
Fax: (203) 419-0389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 004363 Connecticut

Profile Details

NPI number 1053476986
LBN Legal business name Shaw, Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Mar 8th, 2013 - about 11 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 1053476986 NPPES
Connecticut MEDICAID 004190328

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