Individual provider · Type 1 NPI
Earl Wilson Shaw, DC
Chiropractor · Temecula, CA
NPI number
1922003979
Active
Practice location
27536 Ynez Rd, Ste F19
Temecula, CA 92591-4665
Fax (951) 695-2096
Mailing address
26810 Ynez Ct Ste D
Temecula, CA 92591-4691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 13869 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1922003979
Earl Wilson Shaw, DC's National Provider Identifier is 1922003979, issued on Jun 16, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Temecula, CA. The record was last updated on Jul 30, 2010.