Jerry Shafer Phd Inc.

LBN: Jerry Shafer Phd Inc.
Jerry Shafer Phd Inc. is an health care organization with primary practice located at 3240 Lone Tree Way #104, Antioch CA 94509-5559. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Jerry Shafer Phd Inc. can be contacted via phone (925) 778-1661, or through Shafer, Jerry via phone (925) 778-1661.

Contact Information

Primary practice address
3240 Lone Tree Way #104 Antioch CA 94509-5559
Fax: (925) 778-1661
Website:
Authorized official contact:
Name: Shafer, Jerry PHD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY3395 California

Profile Details

NPI number 1891723938
LBN Legal business name Jerry Shafer Phd Inc.
DBA Doing business as
Authorized official Shafer, Jerry PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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