Shafer, Mark R

Shafer, Mark R is an individual health care provider with primary practice located at 830 Chalkstone Ave , Providence RI 02908-4734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Shafer, Mark R can be contacted via phone (401) 273-7100.

Contact Information

Primary practice address
830 Chalkstone Ave Providence RI 02908-4734
Phone: (401) 273-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 158271 Massachusetts

Profile Details

NPI number 1780642702
LBN Legal business name Shafer, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated May 4th, 2017 - about 8 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.

Request for update

Popular Providers