Individual
DR. SUZANNE M SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
362 BOARDMAN-POLAND ROAD, BOARDMAN, OH 44512-4934
(330) 629-2121
(330) 629-2323
Mailing address
362 BOARDMAN-POLAND ROAD, BOARDMAN, OH 44512-0000
(330) 629-2121
(330) 629-2323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11384840
CAQH
OH
Enumeration date
03/16/2007
Last updated
05/21/2013
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