Shaffer, John C.

Shaffer, John C. is an individual health care provider with primary practice located at 800 N. 1St Street , Springfield IL 62702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Shaffer, John C. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
800 N. 1St Street Springfield IL 62702
Phone: (217) 528-7541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 036-094515 Illinois

Profile Details

NPI number 1902990260
LBN Legal business name Shaffer, John C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 25th, 2011 - about 13 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 1902990260 NPPES
Illinois MEDICAID 036094515

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