Shaw, Daniel D

Shaw, Daniel D is an individual health care provider with primary practice located at 290 W Georgia Ave , Nampa ID 83686-2835. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Shaw, Daniel D can be contacted via phone (208) 468-5970.

Contact Information

Primary practice address
290 W Georgia Ave Nampa ID 83686-2835
Phone: (208) 468-5970
Fax: (208) 463-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1065 Idaho

Profile Details

NPI number 1649260654
LBN Legal business name Shaw, Daniel D
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Feb 8th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649260654 NPPES
Idaho Other 000010149920 BLUE SHIELD
Idaho Other TC233 BLUE SHIELD
Idaho Other P00217946 BLUE SHIELD
Idaho MEDICAID 807145100 BLUE SHIELD

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