Rifkin, Shelby D
Rifkin, Shelby D is an individual health care provider with primary practice located at 1432 Southwest Blvd , Jefferson City MO 65109-2444. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Rifkin, Shelby D can be contacted via phone (573) 632-4800.Contact Information
Primary practice address
1432 Southwest Blvd
Jefferson City MO 65109-2444
Phone: (573) 632-4800
Fax: (573) 632-5874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-043437 | Illinois |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 036-043437 | Illinois |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036043437 | Illinois |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 21520-20 | Wisconsin |
Profile Details
| NPI number | 1639166481 |
|---|---|
| LBN Legal business name | Rifkin, Shelby D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Apr 28th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639166481 | NPPES |
| Illinois | MEDICAID | 036-043437 | |
| Illinois | Other | 123240003 |
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