Shaffer, Kayla Marie

Shaffer, Kayla Marie is an sole proprietor health care provider with primary practice located at 4000 Wellness Dr , Midland MI 48670-2000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Shaffer, Kayla Marie can be contacted via phone (989) 794-6632.

Contact Information

Primary practice address
4000 Wellness Dr Midland MI 48670-2000
Fax:
Website:

Health care specialties

Profile Details

NPI number 1780153080
LBN Legal business name Shaffer, Kayla Marie
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2018
Last updated Nov 15th, 2018 - about 7 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 1780153080 NPPES
Michigan MEDICAID 5201008474

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