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Contact Information

TERESA M DOLPHIN SHAW, DO
1801 HICKMAN RD
DES MOINES, IA50314-1548
 Phone: 515-282-5695
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for TERESA M DOLPHIN SHAW · (Female)

NPI Number 1073870226
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/12/2012
Last updated 05/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IA License # DO05034
Hospital affiliation(s)
  • BROADLAWNS MEDICAL CENTER - (Acute Care)
    1801 HICKMAN ROAD
    DES MOINES, IA 50314
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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