Shafer, Suzette Marie

Shafer, Suzette Marie is an sole proprietor health care provider with primary practice located at 1790 S. Fairview Ave. , Decatur IL 62521. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Shafer, Suzette Marie can be contacted via phone (217) 429-2551.

Contact Information

Primary practice address
1790 S. Fairview Ave. Decatur IL 62521
Phone: (217) 429-2551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 057-003139 Illinois

Profile Details

NPI number 1104133099
LBN Legal business name Shafer, Suzette Marie
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2010
Last updated Sep 13th, 2010 - about 16 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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