Jerry Shaw
Jerry Shaw is a Case Manager/Care Coordinator in Hyde, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1208 Hall StHyde, PA 16830
Phone: (814) 553-5312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
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Record details
| NPI number | 1922763648 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 8, 2021 |
| Last updated in NPPES | November 8, 2021 |
| Certification date | October 20, 2021 |
| Mailing address | 1208 Hall Street, Hyde, PA 16830 |