Shaffer, Holly Candice

Shaffer, Holly Candice is an sole proprietor health care provider with primary practice located at 6781 Parker Farm Dr Suite 300, Wilmington NC 28405-3161. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Shaffer, Holly Candice can be contacted via phone (910) 763-1555.

Contact Information

Primary practice address
6781 Parker Farm Dr Suite 300 Wilmington NC 28405-3161
Phone: (910) 763-1555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2008-01381 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1952594178
LBN Legal business name Shaffer, Holly Candice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2007
Last updated Jun 7th, 2013 - about 12 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 1952594178 NPPES
North Carolina MEDICAID 5912439

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