Shaffer, Michael D

Shaffer, Michael D is an individual health care provider with primary practice located at 1331 Bandera Hwy Ste 4 , Kerrville TX 78028-9535. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shaffer, Michael D can be contacted via phone (830) 258-7762.

Contact Information

Primary practice address
1331 Bandera Hwy Ste 4 Kerrville TX 78028-9535
Phone: (830) 258-7762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-009337 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X L6627 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L6627 Texas

Profile Details

NPI number 1417949983
LBN Legal business name Shaffer, Michael D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jun 14th, 2023 - about last year

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 1417949983 NPPES
Oklahoma MEDICAID 200036040A
Oklahoma Other 8M0733
Oklahoma Other 90049
Oklahoma MEDICAID 167598501
Oklahoma MEDICAID 2839254
Oklahoma MEDICAID 139450100
Oklahoma MEDICAID 90049
Oklahoma MEDICAID 19229861
Oklahoma Other P01527361
Oklahoma MEDICAID 167598506
Oklahoma Other 8FE660
Oklahoma Other 8M6326
Oklahoma Other A030
Oklahoma Other 139450101
Oklahoma MEDICAID 167598508
Oklahoma Other 8JE232

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