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Chalyse H. Shaw, Dc, Pc
Medical Specialty Clinic/Center in Parkton, Maryland
NPI 1245558493

Chalyse H. Shaw, Dc, Pc is a Medical Specialty Clinic/Center based in Hereford, MD and is specialized in Medical Specialty. Chalyse H. Shaw, Dc, Pc practices in Parkton, MD. The NPI Number for Chalyse H. Shaw, Dc, Pc is 1245558493 and holds a License No. S01715PT (Maryland).

The current practice location address for Chalyse H. Shaw, Dc, Pc is 17112 York Rd, Parkton, MD and can be reached out via phone at 410-357-4889 and via fax at 410-357-4435.

Location: 17112 York Rd, Parkton, MD, 21111-0560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245558493
Provider Name
Chalyse H. Shaw, Dc, Pc
Credential
Provider Entity Type
Organization
Address
17112 York Rd, Parkton, MD, 21111-0560
Phone Number
410-357-4889
Fax Number
410-357-4435
Provider Enumeration Date
05/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M253CH 01 MD BLUE CROSS/BLUE SHIELD
R7290001 01 MD BLUECROSS/BLUECHOICE
institution
Provider Business Practice Location Address Details
Address
17112 York Rd
City
Parkton
State
Maryland
Zip
21120-9717
Phone Number
410-357-4889
Fax Number
410-357-4435
person
Provider Business Mailing Address Details
Address
17112 York Rd
City
Parkton
State
Maryland
Zip
21120-9717
Phone Number
410-357-4889
Fax Number
410-357-4435
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
S01715PT (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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