Shaffer, Charles Stephen

Shaffer, Charles Stephen is an individual health care provider with primary practice located at 110 7Th St W , Park Rapids MN 56470-1872. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shaffer, Charles Stephen can be contacted via phone (218) 699-3121.

Contact Information

Primary practice address
110 7Th St W Park Rapids MN 56470-1872
Phone: (218) 699-3121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 60110 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 60110 Minnesota

Profile Details

NPI number 1235450982
LBN Legal business name Shaffer, Charles Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Dec 11th, 2023 - about last year

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 1235450982 NPPES
Minnesota Other 60110 STATE LICENSE

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