Schaffer, Mary
Schaffer, Mary is an sole proprietor health care provider with primary practice located at 6817 Kirkwood Dr , Mentor OH 44060-4205. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Schaffer, Mary can be contacted via phone (440) 972-0454.Contact Information
Primary practice address
6817 Kirkwood Dr
Mentor OH 44060-4205
Phone: (440) 972-0454
Fax: (440) 972-0459
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5034 | Ohio |
Profile Details
NPI number | 1679501563 |
---|---|
LBN Legal business name | Schaffer, Mary |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 29th, 2006 |
Last updated | Jul 2nd, 2013 - about 12 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 | 1679501563 | NPPES |
Ohio | Other | 1629242417 | GROUP NPI |
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