Shaver, Jeffrey T

Shaver, Jeffrey T is an individual health care provider with primary practice located at 3840 South Boulevard Suite 101, Edmond OK 73013-5478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shaver, Jeffrey T can be contacted via phone (405) 471-5252.

Contact Information

Primary practice address
3840 South Boulevard Suite 101 Edmond OK 73013-5478
Phone: (405) 471-5252
Fax: (405) 726-8530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 16961 Oklahoma

Profile Details

NPI number 1073582409
LBN Legal business name Shaver, Jeffrey T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 17th, 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 1073582409 NPPES
Oklahoma MEDICAID 100124540A
Oklahoma Other P00392904

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