Shaw, Jennifer Leigh

Shaw, Jennifer Leigh is an individual health care provider with primary practice located at 37100 N Gantzel Rd Ste 106 , San Tan Valley AZ 85140-7350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shaw, Jennifer Leigh can be contacted via phone (480) 821-3600.

Contact Information

Primary practice address
37100 N Gantzel Rd Ste 106 San Tan Valley AZ 85140-7350
Fax: (480) 857-2667
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 42127 Arizona

Profile Details

NPI number 1538308986
LBN Legal business name Shaw, Jennifer Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2009
Last updated Nov 14th, 2023 - about 3 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 1538308986 NPPES
Arizona MEDICAID 435318

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