Miss Chad P Shaw, DC | |
8705 Perimeter Park Blvd, Suite 6, Jacksonville, FL 32216-6344 | |
(904) 997-1349 | |
(904) 997-1369 |
Full Name | Miss Chad P Shaw |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 26 Years |
Location | 8705 Perimeter Park Blvd, Jacksonville, Florida |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215901806 | NPI | - | NPPES |
CH8022 | Other | FL | CHIROPRACTIC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH8022 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shaw Chiropractic Llc | 7911088141 | 2 |
Provider Name | Shaw Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801085725 PECOS PAC ID: 7911088141 Enrollment ID: O20080114000752 |
Mailing Address | Practice Location Address |
---|---|
Miss Chad P Shaw, DC 8705 Perimeter Park Blvd, Suite 6, Jacksonville, FL 32216-6344 Ph: (904) 725-2286 | Miss Chad P Shaw, DC 8705 Perimeter Park Blvd, Suite 6, Jacksonville, FL 32216-6344 Ph: (904) 997-1349 |
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