Shaffer, John B.P.

Shaffer, John B.P. is an individual health care provider with primary practice located at 120 No. Main St Ste. 301, New City NY 10956-3717. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shaffer, John B.P. can be contacted via phone (845) 639-9460.

Contact Information

Primary practice address
120 No. Main St Ste. 301 New City NY 10956-3717
Phone: (845) 639-9460
Fax: (914) 948-1604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0030911 New York

Profile Details

NPI number 1619033289
LBN Legal business name Shaffer, John B.P.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Dec 8th, 2008 - about 16 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 1619033289 NPPES
Other 126585000 MAGELLAN
Other 145179 MAGELLAN
MEDICAID 01283316 MAGELLAN
Other P473564 MAGELLAN

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