Schaffer, Tina M.
Schaffer, Tina M. is an individual health care provider with primary practice located at 900 Main St Ste 100 , Peoria IL 61602-5003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Schaffer, Tina M. can be contacted via phone (309) 671-7772.Contact Information
Primary practice address
900 Main St Ste 100
Peoria IL 61602-5003
Phone: (309) 671-7772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209005632 | Illinois |
Profile Details
| NPI number | 1558380246 |
|---|---|
| LBN Legal business name | Schaffer, Tina M. |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jan 5th, 2025 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558380246 | NPPES |
| Other | 10215111 | BLUE CROSS BLUE SHIELD |
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