Shaw, Jana

Shaw, Jana is an individual health care provider with primary practice located at 238 Arsenal St , Watertown NY 13601-2504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Shaw, Jana can be contacted via phone (315) 782-6400.

Contact Information

Primary practice address
238 Arsenal St Watertown NY 13601-2504
Phone: (315) 782-6400
Fax: (315) 782-1330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 239174 New York

Profile Details

NPI number 1548208820
LBN Legal business name Shaw, Jana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Oct 20th, 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 1548208820 NPPES
New York MEDICAID 02462559
New York Other 239174

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