Shaffer, Thomas Rauby

Shaffer, Thomas Rauby is an sole proprietor health care provider with primary practice located at 1310 Main Ave S Suite 9, Brookings SD 57006-3819. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Shaffer, Thomas Rauby can be contacted via phone (605) 692-6367.

Contact Information

Primary practice address
1310 Main Ave S Suite 9 Brookings SD 57006-3819
Phone: (605) 692-6367
Fax: (605) 692-1883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 472 South Dakota

Profile Details

NPI number 1770749442
LBN Legal business name Shaffer, Thomas Rauby
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2008
Last updated Jul 14th, 2014 - about 11 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 1770749442 NPPES
South Dakota MEDICAID 6552660
South Dakota Other S102729

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