Shaw, Mandy L

Shaw, Mandy L is an individual health care provider with primary practice located at 1000 Pole Creek Xing , Sidney NE 69162-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shaw, Mandy L can be contacted via phone (308) 254-5544.

Contact Information

Primary practice address
1000 Pole Creek Xing Sidney NE 69162-2901
Fax: (308) 254-2672
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22592 Nebraska

Profile Details

NPI number 1972682870
LBN Legal business name Shaw, Mandy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jan 23rd, 2017 - about 9 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 1972682870 NPPES
Nebraska Other 30482 BCBS OF NEBRASKA
Nebraska Other P00253777 BCBS OF NEBRASKA

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