Shafer, Kathy Jo
Shafer, Kathy Jo is an sole proprietor health care provider with primary practice located at 3162 Traylor Trl , Litchfield IL 62056-4559. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shafer, Kathy Jo can be contacted via phone (217) 622-5137.Contact Information
Primary practice address
3162 Traylor Trl
Litchfield IL 62056-4559
Phone: (217) 622-5137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019021377 | Illinois |
Profile Details
| NPI number | 1750499729 |
|---|---|
| LBN Legal business name | Shafer, Kathy Jo |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Dec 16th, 2022 - about 4 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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