Shaw, Christopher Joel
Shaw, Christopher Joel is an sole proprietor health care provider with primary practice located at 11800 Ne 128Th St Suite 300, Kirkland WA 98034-7208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shaw, Christopher Joel can be contacted via phone (425) 814-5100.Contact Information
Primary practice address
11800 Ne 128Th St Suite 300
Kirkland WA 98034-7208
Phone: (425) 814-5100
Fax: (425) 814-5103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60124508 | Washington |
Profile Details
| NPI number | 1407179690 |
|---|---|
| LBN Legal business name | Shaw, Christopher Joel |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2010 |
| Last updated | Feb 9th, 2015 - about 11 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 | 1407179690 | NPPES |
| Washington | Other | P00946049 | RAILROAD MEDICARE |
| Washington | Other | 0260915 | RAILROAD MEDICARE |
| Washington | MEDICAID | 1407179690 | RAILROAD MEDICARE |
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