Shaw, Timothy J

Shaw, Timothy J is an individual health care provider with primary practice located at 752 N High Point Rd Dean Medical Center, Madison WI 53717-2236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Shaw, Timothy J can be contacted via phone (608) 824-4800.

Contact Information

Primary practice address
752 N High Point Rd Dean Medical Center Madison WI 53717-2236
Phone: (608) 824-4800
Fax: (608) 824-4910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 23506-020 Wisconsin

Profile Details

NPI number 1568406270
LBN Legal business name Shaw, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 12th, 2008 - about 18 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 1568406270 NPPES
Wisconsin MEDICAID 31510800
Wisconsin Other 60452

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