Dr. Charles J Shaw
Family Doctor Family Doctor - Addiction Medicine
3413 Brookend Ct
Oklahoma City
, Oklahoma 73120-5007
Dr. Charles J Shaw
Family Doctor Family Doctor - Addiction Medicine
3413 Brookend Ct
Oklahoma City
, Oklahoma 73120-5007
(405) 858-0602
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Charles J Shaw
- Po Box 12883
- Oklahoma City, OK
- Zip : 73157-2883
- Fax : (405) 858-0602
- Phone : (405) 858-0600
Second Address
- Dr. Charles J Shaw
- 3413 Brookend Ct
- Oklahoma City, OK
- Zip : 73120-5007
- Fax : (405) 858-0602
- Phone : (405) 858-0600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 7764 | OK |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 7764 | OK |
National Provider Identifier
| NPI | 1538123831 |
|---|---|
| Provider Name | Dr. Charles J Shaw |
| First Address | Oklahoma City, OK 73157-2883 |
| Second Address | Oklahoma City, OK 73120-5007 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2006 |
| Last Update Date | 06/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100195630A | (05) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.