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
Fax: (414) 325-7753
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457462566 NPPES
Wisconsin MEDICAID 39683400

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