institution
D. Douglas Shaw
Prosthetic/Orthotic Supplier in Williston, Vermont
NPI 1659544054

D. Douglas Shaw is a Prosthetic/Orthotic Supplier based in Williston, VT. D. Douglas Shaw practices in Williston, VT. The NPI Number for D. Douglas Shaw is 1659544054 and holds a License No. (Vermont).

The current practice location address for D. Douglas Shaw is 312 Commerce St, Williston, VT and can be reached out via phone at 802-864-9909.

Location: 312 Commerce St, Williston, VT, 05495-7832
institution
Provider Profile Details
NPI Number
1659544054
Provider Name
D. Douglas Shaw
Credential
Provider Entity Type
Organization
Address
312 Commerce St, Williston, VT, 05495-7832
Phone Number
802-864-9909
Fax Number
Provider Enumeration Date
04/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054 2771 01 VT BLUE CROSS BLUE SHIELD
0009187 05 VT
01060791 05 NY
institution
Provider Business Practice Location Address Details
Address
312 Commerce St
City
State
Zip
05495-7832
Phone Number
802-864-9909
Fax Number
person
Provider Business Mailing Address Details
Address
312 Commerce St
City
State
Zip
05495-7832
Phone Number
802-864-9909
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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