Shaffer, William
Shaffer, William is an individual health care provider with primary practice located at 1055 N Mayfair Rd , Wauwatosa WI 53226-3436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shaffer, William can be contacted via phone (414) 476-8450.Contact Information
Primary practice address
1055 N Mayfair Rd
Wauwatosa WI 53226-3436
Phone: (414) 476-8450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23235 | Wisconsin |
Profile Details
| NPI number | 1760531818 |
|---|---|
| LBN Legal business name | Shaffer, William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Sep 26th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760531818 | NPPES |
| Wisconsin | Other | P01071814 | RR MEDICARE |
| Wisconsin | MEDICAID | 30348400 | RR MEDICARE |
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