Shaw, Timothy J
Shaw, Timothy J is an individual health care provider with primary practice located at 522 Hewett St , Neillsville WI 54456-1926. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shaw, Timothy J can be contacted via phone (715) 743-3600.Contact Information
Primary practice address
522 Hewett St
Neillsville WI 54456-1926
Phone: (715) 743-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2231-012 | Wisconsin |
Profile Details
| NPI number | 1235235953 |
|---|---|
| LBN Legal business name | Shaw, Timothy J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Oct 26th, 2009 - about 16 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 | 1235235953 | NPPES |
| Wisconsin | MEDICAID | 38798300 |
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