Shaffer, Derek S

Shaffer, Derek S is an sole proprietor health care provider with primary practice located at 1055 Highland Blvd , Cabot AR 72023-6001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Shaffer, Derek S can be contacted via phone (501) 412-3717.

Contact Information

Primary practice address
1055 Highland Blvd Cabot AR 72023-6001
Phone: (501) 412-3717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT370 Arkansas

Profile Details

NPI number 1023235439
LBN Legal business name Shaffer, Derek S
Credentials ATC,LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 18 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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