Callie Shaffer, M.D.

LBN: Rockcastle Ventures Inc. D.B.A. Callie Shaffer, M.D.
Callie Shaffer, M.D. is an health care organization with primary practice located at 140 Newcomb Ave , Mount Vernon KY 40456-2728. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Rockcastle Ventures Inc. D.B.A. Callie Shaffer, M.D. can be contacted via phone (606) 256-4148, or through Bullock, Brandy L. via phone (606) 256-7761.

Contact Information

Primary practice address
140 Newcomb Ave Mount Vernon KY 40456-2728
Phone: (606) 256-4148
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bullock, Brandy L.
Phone: (606) 256-7761

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1962525402
LBN Legal business name Rockcastle Ventures Inc. D.B.A. Callie Shaffer, M.D.
DBA Doing business as Callie Shaffer, M.D.
Authorized official Bullock, Brandy L.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962525402 NPPES
Kentucky MEDICAID 65942690

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