Shaw, Shirley B
Shaw, Shirley B is an sole proprietor health care provider with primary practice located at 2380 N 400 E , Logan UT 84341-1749. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Shaw, Shirley B can be contacted via phone (435) 787-9030.Contact Information
Primary practice address
2380 N 400 E
Logan UT 84341-1749
Phone: (435) 787-9030
Fax: (435) 787-9033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3193264201 | Utah |
Profile Details
| NPI number | 1841415304 |
|---|---|
| LBN Legal business name | Shaw, Shirley B |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1841415304 | NPPES |
| Utah | MEDICAID | D5392 |
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