Shaffer, Ryan Alexader

Shaffer, Ryan Alexader is an individual health care provider with primary practice located at 34101 Farenholt Ave Bldg 14 , San Diego CA 92134-7000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Shaffer, Ryan Alexader can be contacted via phone (661) 309-5610.

Contact Information

Primary practice address
34101 Farenholt Ave Bldg 14 San Diego CA 92134-7000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X California

Profile Details

NPI number 1114623329
LBN Legal business name Shaffer, Ryan Alexader
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2023
Last updated Jan 31st, 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 1114623329 NPPES
Other 1526173763 MILITARY

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