| Doctor Name: | DR. THOMAS L SHAVER |
| NPI Number: | 1609140375 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | DOS - 820 |
| Business Practice Address: | 543760 Hanaula Apo Rd. Kapaau, HI - 967551439 |
| Business Phone Number: | 8088845282 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1442, 543760 Hanaula Apo Rd. KAPAAU |
| State: | HI |
| Postal Code: | 967551439 |
| Phone Number: | 8088845282 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2012 |
| NPI Last Update Date: | 02/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | DOS - 820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |