Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES ETIENNE SHOTWELL JR., C.PED
Active Sole ProprietorMR. JAMES ETIENNE SHOTWELL JR., C.PED is a Contractor healthcare provider located in JACKSON, Michigan. NPI 1003938127 is currently active in the NPPES registry. Verify at CMS.
Contractor · JACKSON, MI
Registration Details
- NPI Number
- 1003938127
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2007 (19.39237403753 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 W MICHIGAN AVEJACKSON, MI, 492011303Browse MI providers · Browse ZIP 49201
- Phone
- 5177831258
- Fax
- 5177836472
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| ANDREA OSMAN | — | 1437438223 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.