Shafer, Shaun Stuart

Shafer, Shaun Stuart is an individual health care provider with primary practice located at 204 Mccollum Dr Suite 201, Laramie WY 82070-5103. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Ophthalmic, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Shafer, Shaun Stuart can be contacted via phone (307) 742-2131.

Contact Information

Primary practice address
204 Mccollum Dr Suite 201 Laramie WY 82070-5103
Phone: (307) 742-2131
Fax: (307) 742-2134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X 5934A Wyoming
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 5934A Wyoming

Profile Details

NPI number 1730181561
LBN Legal business name Shafer, Shaun Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 19th, 2019 - about 5 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 1730181561 NPPES
Wyoming MEDICAID 118240400
Wyoming Other 180046305

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