Shafer, Sterling

Shafer, Sterling is an individual health care provider with primary practice located at 1600 W Walnut St , Jacksonville IL 62650-1136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shafer, Sterling can be contacted via phone (217) 245-9541.

Contact Information

Primary practice address
1600 W Walnut St Jacksonville IL 62650-1136
Fax: (217) 479-8781
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois

Profile Details

NPI number 1316065873
LBN Legal business name Shafer, Sterling
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 9th, 2007 - about 17 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 1316065873 NPPES
Illinois Other P00041714 MEDICARE RR
Illinois Other 077530 MEDICARE RR

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