Shafer, Mary Ann B.

Shafer, Mary Ann B. is an individual health care provider with primary practice located at 400 Parnassus Ave Fl 2 , San Francisco CA 94143-2202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Shafer, Mary Ann B. can be contacted via phone (415) 353-2002.

Contact Information

Primary practice address
400 Parnassus Ave Fl 2 San Francisco CA 94143-2202
Phone: (415) 353-2002
Fax: (415) 476-6106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G27719 California
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X G27719 California

Profile Details

NPI number 1407872757
LBN Legal business name Shafer, Mary Ann B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 23rd, 2008 - about 16 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 1407872757 NPPES
California MEDICAID 00G277190

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