OrganizationActive
Chalyse H. Shaw, DC, PC
NPI 1245558493 · Medical Specialty Clinic/Center · Parkton, MD
Provider details
- NPI number
- 1245558493
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chalyse Shaw, President(410) 357-4889
- License
- S01715PT (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
17112 York Rd
Parkton, MD 21120-9717
Phone: (410) 357-4889
Fax: (410) 357-4435
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 560
Hereford, MD 21111-0560
Registry dates
- Enumerated
- 2010-05-12
- Last updated
- 2010-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.