Shaw, John Eric

Shaw, John Eric is an individual health care provider with primary practice located at 500 Market St , Grafton WV 26354-1184. 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, John Eric can be contacted via phone (304) 265-2191.

Contact Information

Primary practice address
500 Market St Grafton WV 26354-1184
Phone: (304) 265-2191
Fax: (304) 265-2194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1157 West Virginia

Profile Details

NPI number 1619254489
LBN Legal business name Shaw, John Eric
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2011
Last updated Nov 8th, 2011 - about 15 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 1619254489 NPPES
West Virginia MEDICAID 0157012000

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