Shafer, Jeannine L.

Shafer, Jeannine L. is an individual health care provider with primary practice located at 1216 W Willow Rd Suite F, Enid OK 73703-2532. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shafer, Jeannine L. can be contacted via phone (580) 234-6790.

Contact Information

Primary practice address
1216 W Willow Rd Suite F Enid OK 73703-2532
Phone: (580) 234-6790
Fax: (580) 234-2993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2404 Oklahoma

Profile Details

NPI number 1205879046
LBN Legal business name Shafer, Jeannine L.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1205879046 NPPES
Oklahoma Other 7903086 AETNA

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