Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB WAYNE SHAW, A.S, A.A.S, CPT
ActiveMR. JACOB WAYNE SHAW, A.S, A.A.S, CPT is a Health Educator healthcare provider located in ALTON, Illinois. NPI 1558914457 is currently active in the NPPES registry. Verify at CMS.
Health Educator · ALTON, IL
Registration Details
- NPI Number
- 1558914457
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2019 (7.1043726413024 yrs)
- Last Updated
- Jul 19, 2019
Practice Information
- Address
-
2603 N RODGERS AVEALTON, IL, 620025524Browse IL providers · Browse ZIP 62002
- Phone
- 6184653298
- Fax
- 6184653302
- Primary Specialty
-
Health Educator
174H00000X
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.