Derrick Chase Shaw
Derrick Chase Shaw is an Independent Duty Medical Technicians in Lusby, Maryland. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1185 Cordova DrLusby, MD 20657-4538
Phone: (402) 705-3896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Medical Technicians (primary) | Taxonomy 1710I1003X |
|---|
Record details
| NPI number | 1336865146 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 13, 2022 |
| Last updated in NPPES | April 4, 2023 |
| Certification date | April 4, 2023 |
| Mailing address | 1185 Cordova Dr, Lusby, MD 20657-4538 |