Shaffer, Callie E

Shaffer, Callie E is an individual health care provider with primary practice located at 140 Newcomb Ave , Mount Vernon KY 40456-2728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shaffer, Callie E can be contacted via phone (606) 256-4148.

Contact Information

Primary practice address
140 Newcomb Ave Mount Vernon KY 40456-2728
Phone: (606) 256-4148
Fax: (606) 256-7785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38737 Kentucky

Profile Details

NPI number 1992811046
LBN Legal business name Shaffer, Callie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Mar 7th, 2023 - about 2 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 1992811046 NPPES
Kentucky Other 27-0496454 TAX ID (EFFECT. 01/01/10)
Kentucky Other 637591 TAX ID (EFFECT. 01/01/10)
Kentucky MEDICAID 7100081050 TAX ID (EFFECT. 01/01/10)
Kentucky Other 000000337528 TAX ID (EFFECT. 01/01/10)
Kentucky Other 1217376 TAX ID (EFFECT. 01/01/10)
Kentucky Other 38737 TAX ID (EFFECT. 01/01/10)
Kentucky MEDICAID 64087299 TAX ID (EFFECT. 01/01/10)
Kentucky Other 000000475691 TAX ID (EFFECT. 01/01/10)

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