National Provider Identifier Database

DAVID D SHAW, CPO – NPI #1548307275
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

DAVID D SHAW, CPO
312 COMMERCE ST
UNIT 10
WILLISTON, VT05495-7832
Phone: 802-864-9909
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for DAVID D SHAW

NPI Number 1548307275
Credentials CPO
Entity Individual
Enumeration date 01/31/2007
Last updated 03/19/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • NY Medicaid: 01060791
  • VT Medicaid: 0009187
  • VT Other: 054 2771 BLUE CROSS BLUE SHIELD
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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