Individual
DR. DANIEL A SHAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1307 JAMESTOWN RD STE 103, WILLIAMSBURG, VA 23185-3381
(757) 229-4161
(757) 564-0581
Mailing address
1307 JAMESTOWN RD STE 103, WILLIAMSBURG, VA 23185-3381
(757) 229-4161
(757) 564-0581
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104001672
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15529P62
MEDICARE INDIVIDUAL PTAN
VA
01
—
C05162
MEDICARE GROUP PTAN
VA
Enumeration date
07/29/2005
Last updated
01/21/2008
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