Individual
MR. SCOTT WARREN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10486 RIDGEFIELD PKWAY, RICHMOND, VA 23233
(801) 741-3068
(772) 619-3151
Mailing address
10486 RIDGEFIELD PKWAY, RICHMOND, VA 23233
(801) 741-3068
(772) 619-3151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001227
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010039746
—
VA
01
—
068270
ANTHEM BCBS
VA
01
—
3500352501
RAILROAD MEDICARE
VA
01
—
4400229
UNITED HEALTHCARE
VA
01
—
4546701
AETNA
VA
Enumeration date
08/22/2006
Last updated
07/14/2010
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