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Michael Ed Shaw
Physician Assistant in Berlin, Vermont
NPI 1861969412

Michael Ed Shaw is a Physician Assistant based in Burlington, VT. Michael Ed Shaw practices in Berlin, VT. The NPI Number for Michael Ed Shaw is 1861969412 and holds a License No. (Vermont).

The current practice location address for Michael Ed Shaw is 130 Fisher Rd, Berlin, VT and can be reached out via phone at 802-371-4264. You can also correspond with Michael Ed Shaw through the mailing address at 98 LAKEVIEW TER # 2, BURLINGTON, VT - 05401-2930 (mailing address contact number: 802-343-1377).

Location: 130 Fisher Rd, Berlin, VT, 05401-2930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861969412
Provider Name
Michael Ed Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
130 Fisher Rd, Berlin, VT, 05401-2930
Phone Number
802-371-4264
Fax Number
Provider Enumeration Date
10/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 Fisher Rd
City
Berlin
State
Vermont
Zip
05602-9516
Phone Number
802-371-4264
Fax Number
person
Provider Business Mailing Address Details
Address
130 Fisher Rd
City
Berlin
State
Vermont
Zip
05602-9516
Phone Number
802-371-4264
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
055.0031417 (Vermont)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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