Shafer, Jeffrey P
Shafer, Jeffrey P is an individual health care provider with primary practice located at 77 N Airlite Street , Elgin IL 60123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Shafer, Jeffrey P can be contacted via phone (847) 931-5520.Contact Information
Primary practice address
77 N Airlite Street
Elgin IL 60123
Phone: (847) 931-5520
Fax: (847) 695-3319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | Illinois |
Profile Details
| NPI number | 1003841289 |
|---|---|
| LBN Legal business name | Shafer, Jeffrey P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 8th, 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 | 1003841289 | NPPES |
| Illinois | MEDICAID | 0360796721 |
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