Shaw, Thomas Bart

Shaw, Thomas Bart is an individual health care provider with primary practice located at 300 Portland St Ste 110 , Columbia MO 65201-7390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Shaw, Thomas Bart can be contacted via phone (573) 886-4600.

Contact Information

Primary practice address
300 Portland St Ste 110 Columbia MO 65201-7390
Phone: (573) 886-4600
Fax: (573) 886-4695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD101288 Missouri

Profile Details

NPI number 1013966399
LBN Legal business name Shaw, Thomas Bart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Apr 20th, 2022 - about 3 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 1013966399 NPPES
Other 11954768 CAQH
MEDICAID 209661404 CAQH

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