Shaffer, Brian L
Shaffer, Brian L is an individual health care provider with primary practice located at 1100 Van Ness Ave , San Francisco CA 94109-6978. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Shaffer, Brian L can be contacted via phone (415) 600-6400.Contact Information
Primary practice address
1100 Van Ness Ave
San Francisco CA 94109-6978
Phone: (415) 600-6400
Fax: (415) 369-1384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 2009139 | California |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | MD60278147 | Washington |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | MD153180 | Oregon |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD153180 | Oregon |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD60278147 | Washington |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | MD153180 | Oregon |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | MD60278147 | Washington |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 854587 | California |
Profile Details
| NPI number | 1245296052 |
|---|---|
| LBN Legal business name | Shaffer, Brian L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Feb 24th, 2021 - about 3 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 | 1245296052 | NPPES |
| California | Other | A82583 | STATE MEDICAL LICENSE |
| California | Other | MD153180 | STATE MEDICAL LICENSE |
| California | MEDICAID | 00A825830 | STATE MEDICAL LICENSE |
| California | MEDICAID | 500627546 | STATE MEDICAL LICENSE |
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