Shafer, Ronald Morton
Shafer, Ronald Morton is an sole proprietor health care provider with primary practice located at 3461 Bridlewood Lane , Terre Haute IN 47802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Shafer, Ronald Morton can be contacted via phone (812) 243-1590.Contact Information
Primary practice address
3461 Bridlewood Lane
Terre Haute IN 47802
Phone: (812) 243-1590
Fax: (812) 234-6614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01062324A | Indiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01048560 | Indiana |
Profile Details
| NPI number | 1053354050 |
|---|---|
| LBN Legal business name | Shafer, Ronald Morton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 4th, 2012 - about 13 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 | 1053354050 | NPPES |
| Indiana | Other | 000000481852 | BCBS |
| Indiana | MEDICAID | 200828520A | BCBS |
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