Shafer, Janet A
Shafer, Janet A is an individual health care provider with primary practice located at 4848 S 76Th St Suite 201, Greenfield WI 53220-4361. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shafer, Janet A can be contacted via phone (414) 325-7741.Contact Information
Primary practice address
4848 S 76Th St Suite 201
Greenfield WI 53220-4361
Phone: (414) 325-7741
Fax: (414) 325-7753
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1478-125 | Wisconsin |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1478 | Wisconsin |
Profile Details
NPI number | 1457462566 |
---|---|
LBN Legal business name | Shafer, Janet A |
Credentials | RN,MS,LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Aug 28th, 2007 - about 17 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 | 1457462566 | NPPES |
Wisconsin | MEDICAID | 39683400 |
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