Jeffrey L Shaw
Pediatrician Allergist & Immunologist
1821 S Webster Ave
Green Bay
, Wisconsin 54301
Jeffrey L Shaw
Pediatrician Allergist & Immunologist
1821 S Webster Ave
Green Bay
, Wisconsin 54301
(920) 496-4700
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About
Features
Specialties
- Allergist & Immunologist
- Pediatrician
Languages spoken
- English
Location
First Address
- Jeffrey L Shaw
- Po Box 19070
- Green Bay, WI
- Zip : 54307-9070
- Phone : (920) 496-4700
Second Address
- Jeffrey L Shaw
- 1821 S Webster Ave
- Green Bay, WI
- Zip : 54301
- Fax : (920) 431-1914
- Phone : (920) 496-4700
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FAQs
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What type of doctor is Jeffrey L Shaw
In what state does Jeffrey L Shaw practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | 20844 | WV |
| Y | 207K00000X | Allergist & Immunologist | 42113-020 | WI |
| N | 208000000X | Pediatrician | 20884 | WV |
National Provider Identifier
| NPI | 1124083712 |
|---|---|
| Provider Name | Jeffrey L Shaw |
| First Address | Green Bay, WI 54307-9070 |
| Second Address | Green Bay, WI 54301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2006 |
| Last Update Date | 12/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1840670000 | (05) | WV |
| 2324505 | (05) | OH |
| 64049158 | (05) | KY |
| H15840 | (02) | WV |
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.