Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB R SHAW
ActiveJACOB R SHAW is a Peer Specialist healthcare provider located in BASIN, Wyoming. NPI 1396513719 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · BASIN, WY
Registration Details
- NPI Number
- 1396513719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2023 (2.6913379637087 yrs)
- Last Updated
- Dec 14, 2023
- License
-
143 (WY)
Practice Information
- Address
-
116 SOUTH 3RD STREETBASIN, WY, 82410Browse WY providers · Browse ZIP 82410
- Phone
- 3075682020
- Primary Specialty
-
Peer Specialist
175T00000X
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.