Shaffer, Constance S
Shaffer, Constance S is an individual health care provider with primary practice located at 3915 Golden Valley Road Courage Center, Golden Valley MN 55422-4298. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Shaffer, Constance S can be contacted via phone (763) 520-0425.Contact Information
Primary practice address
3915 Golden Valley Road Courage Center
Golden Valley MN 55422-4298
Phone: (763) 520-0425
Fax: (763) 520-0861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 102152 | Minnesota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility | 225XR0403X | 102152 | Minnesota |
Profile Details
| NPI number | 1619918653 |
|---|---|
| LBN Legal business name | Shaffer, Constance S |
| Credentials | OTR L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Dec 9th, 2011 - about 14 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 | 1619918653 | NPPES |
| Other | 6411150 | MEDICA | |
| Other | 76D35SH | MEDICA | |
| Other | HP11422 | MEDICA |
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