National Provider Identifier Database

STACIE R SHAW, PAC – NPI #1689784837
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

STACIE R SHAW, PAC
106 S SCHOOL ROAD
DAGGETT, MI49821
Phone: 906-753-2155
Fax: 906-753-2716
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for STACIE R SHAW

NPI Number 1689784837
Credentials PAC
Entity Individual
Enumeration date 08/30/2006
Last updated 01/05/2026 - About 5 months ago
Sole proprietor1 No
Identifiers
  • MI License #: 5601005068
  • WI License #: 1117
  • WI Medicaid: 42982000
  • Other: 1031550 NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS
  • MI Other: 0N41200012 MICHIGAN MEDICARE
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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