Shaw, Edward Gus

Shaw, Edward Gus is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Shaw, Edward Gus can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 713-6565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 9500719 North Carolina

Profile Details

NPI number 1538141585
LBN Legal business name Shaw, Edward Gus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Nov 15th, 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 1538141585 NPPES
Other 5141217 AETNA
Other 57725 AETNA
MEDICAID 7208707 AETNA
Other 75531 AETNA
MEDICAID 1802889000 AETNA
Other 12163 AETNA
Other 920006958 AETNA
MEDICAID 8975531 AETNA
MEDICAID Q00719 AETNA

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