Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN D SHAW
ActiveJONATHAN D SHAW is a Social Worker healthcare provider located in OLD TOWN, Maine. NPI 1841574753 is currently active in the NPPES registry. Verify at CMS.
Social Worker · OLD TOWN, ME
Registration Details
- NPI Number
- 1841574753
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2011 (14.883441700725 yrs)
- Last Updated
- Oct 11, 2011
- License
-
LS12886 (ME)
Practice Information
- Address
-
242 BRUNSWICK STOLD TOWN, ME, 044681613Browse ME providers · Browse ZIP 04468
- Phone
- 2078276128
- Fax
- 2078275533
- Primary Specialty
-
Social Worker
104100000X
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.