Shaffer, Jenny Lynne

Shaffer, Jenny Lynne is an individual health care provider with primary practice located at 10010 Kennerly Road Attn Cancer Care Center, St Louis MO 63128-2106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Shaffer, Jenny Lynne can be contacted via phone (314) 525-1688.

Contact Information

Primary practice address
10010 Kennerly Road Attn Cancer Care Center St Louis MO 63128-2106
Phone: (314) 525-1688
Fax: (314) 525-1689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 2017014159 Missouri

Profile Details

NPI number 1073838322
LBN Legal business name Shaffer, Jenny Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2010
Last updated Apr 23rd, 2018 - about 6 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 1073838322 NPPES
Mississippi MEDICAID 1073838322

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