Shaffer, James Christopher
Shaffer, James Christopher is an sole proprietor health care provider with primary practice located at 1700 17Th St Nw Building Unit 417801 #6, Austin MN 55912-6355. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Community Health is his primary health care specialty. Shaffer, James Christopher can be contacted via phone (507) 440-0767.Contact Information
Primary practice address
1700 17Th St Nw Building Unit 417801 #6
Austin MN 55912-6355
Phone: (507) 440-0767
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 32355 | Minnesota |
Profile Details
NPI number | 1205811312 |
---|---|
LBN Legal business name | Shaffer, James Christopher |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 12th, 2005 |
Last updated | May 12th, 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 | 1205811312 | NPPES |
Minnesota | MEDICAID | 274392200 | |
Minnesota | Other | 370004646 |
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