Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | 2995 | NJ |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 4095 | NY |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 610 | CT |
NPI | 1184796484 |
---|---|
Provider Name | Dr. Steven Wayne Shaw |
First Address | New Britain, CT 06051-2216 |
Second Address | New Britain, CT 06052-1315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 16/07/2019 |