Schaefer, John A

Schaefer, John A is an individual health care provider with primary practice located at 262 Leroy George Dr , Clyde NC 28721-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Schaefer, John A can be contacted via phone (843) 237-3378.

Contact Information

Primary practice address
262 Leroy George Dr Clyde NC 28721-7430
Phone: (843) 237-3378
Fax: (843) 237-5073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200201168 North Carolina

Profile Details

NPI number 1912978818
LBN Legal business name Schaefer, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 17th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912978818 NPPES
North Carolina MEDICAID 891316G
North Carolina Other 1316G
North Carolina Other P00274218

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