Shaw, Stephen Thomas

Shaw, Stephen Thomas is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shaw, Stephen Thomas can be contacted via phone (614) 293-8000.

Contact Information

Primary practice address
410 W 10Th Ave Columbus OH 43210-1240
Fax: (614) 366-2360
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-081916 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35-081916 Ohio

Profile Details

NPI number 1194720599
LBN Legal business name Shaw, Stephen Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Aug 10th, 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 1194720599 NPPES
Ohio MEDICAID 2380043

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