Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jacob Wayne Shaw, AS, AAS, CPT

Individual provider Health Educator · NPI 1558914457

Mr. Jacob Wayne Shaw, AS, AAS, CPT is a Health Educator in Alton, Illinois. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

2603 N Rodgers Ave
Alton, IL 62002-5524
Phone: (618) 465-3298
Fax: (618) 465-3302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X

Record details

NPI number1558914457
Entity typeIndividual (Type 1)
GenderMale
Credentials AS , AAS , CPT
Sole proprietorNo
NPI enumeratedJuly 19, 2019
Last updated in NPPESJuly 19, 2019

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