Shaffer, Paul Tanner

Shaffer, Paul Tanner is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Shaffer, Paul Tanner can be contacted via phone (312) 567-2000.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (312) 567-2000
Fax: (312) 567-6073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 135001034 Illinois

Profile Details

NPI number 1528529187
LBN Legal business name Shaffer, Paul Tanner
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Jul 8th, 2021 - about 3 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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