Shaffer, Matthew James

Shaffer, Matthew James is an sole proprietor health care provider with primary practice located at 2201 Lexington Ave , Ashland KY 41101-2843. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shaffer, Matthew James can be contacted via phone (606) 408-6200.

Contact Information

Primary practice address
2201 Lexington Ave Ashland KY 41101-2843
Phone: (606) 408-6200
Fax: (606) 408-6825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22835 West Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 44465 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44465 Kentucky

Profile Details

NPI number 1649461625
LBN Legal business name Shaffer, Matthew James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2007
Last updated Apr 7th, 2017 - about 8 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 1649461625 NPPES
Ohio MEDICAID 3159764
Ohio MEDICAID 7100156550

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