Shaffer, Vernon C.

Shaffer, Vernon C. is an individual health care provider with primary practice located at 2604 Saint Michael Dr Suite 410, Texarkana TX 75503-2379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shaffer, Vernon C. can be contacted via phone (903) 614-5430.

Contact Information

Primary practice address
2604 Saint Michael Dr Suite 410 Texarkana TX 75503-2379
Phone: (903) 614-5430
Fax: (903) 614-5464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G6012 Texas

Profile Details

NPI number 1265419030
LBN Legal business name Shaffer, Vernon C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jan 2nd, 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 1265419030 NPPES
Arkansas MEDICAID 110879001
Arkansas MEDICAID 124647205
Arkansas MEDICAID 124647202

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