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Contact Information

JARON L SHAW
1860 E 15TH ST
TULSA, OK74104-4611
 Phone: 918-949-4430
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Rehabilitation, Blind

2255R0406X
Indicates primary specialty

NPI Profile & details for JARON L SHAW · (Male)

NPI Number 1457704793
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2016
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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