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Contact Information

DAVID D SHAW, CPO
312 COMMERCE ST
UNIT 10
WILLISTON, VT05495-7832
 Phone: 802-864-9909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
Indicates primary specialty

NPI Profile & details for DAVID D SHAW · (Male)

NPI Number 1548307275
Status Active
Credentials CPO
Entity Individual
Enumeration date 01/31/2007
Last updated 03/19/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY Medicaid 01060791
  • VT Medicaid 0009187
  • VT Other 054 2771 BLUE CROSS BLUE SHIELD
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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