National Provider Identifier Database

JEFFREY L SHAW, MD – NPI #1124083712
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.


Contact Information

JEFFREY L SHAW, MD
1821 S WEBSTER AVE
GREEN BAY, WI54301
Phone: 920-496-4700
Fax: 920-431-1914
Website:
Specialty Taxonomy Code
* Allergy & Immunology 207K00000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for JEFFREY L SHAW

NPI Number 1124083712
Credentials MD
Entity Individual
Enumeration date 04/18/2006
Last updated 01/12/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 42113-020
  • WV License #: 20844
  • WV License #: 20884
  • KY Medicaid: 64049158
  • OH Medicaid: 2324505
  • WV Medicaid: 1840670000
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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