Shafer, Karole M

Shafer, Karole M is an individual health care provider with primary practice located at 201 Frey St , Newark NY 14513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shafer, Karole M can be contacted via phone (315) 331-4344.

Contact Information

Primary practice address
201 Frey St Newark NY 14513
Phone: (315) 331-4344
Fax: (315) 331-1211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F4302391 New York

Profile Details

NPI number 1669542635
LBN Legal business name Shafer, Karole M
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Nov 25th, 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 1669542635 NPPES
Other P019430239 EXCELLUS BLUE CHOICE
Other 153752B0 EXCELLUS BLUE CHOICE

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