Shaffer, Joan

Shaffer, Joan is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 4006-B, Saint Louis MO 63141-8232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Shaffer, Joan can be contacted via phone (314) 251-6486.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 4006-B Saint Louis MO 63141-8232
Phone: (314) 251-6486
Fax: (314) 251-4155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X R4F92 Missouri

Profile Details

NPI number 1568429801
LBN Legal business name Shaffer, Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Sep 22nd, 2014 - about 10 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 1568429801 NPPES
Missouri MEDICAID 1568429801
Missouri Other P00303118

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