Shaw, Chad P

Shaw, Chad P is an individual health care provider with primary practice located at 8705 Perimeter Park Blvd Suite 6, Jacksonville FL 32216-6344. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shaw, Chad P can be contacted via phone (904) 997-1349.

Contact Information

Primary practice address
8705 Perimeter Park Blvd Suite 6 Jacksonville FL 32216-6344
Phone: (904) 997-1349
Fax: (904) 997-1369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8022 Florida

Profile Details

NPI number 1215901806
LBN Legal business name Shaw, Chad P
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Oct 3rd, 2007 - about 19 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 1215901806 NPPES
Florida Other CH8022 CHIROPRACTIC LICENSE

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