Shaffer, Carrie

Shaffer, Carrie is an individual health care provider with primary practice located at 425 California St Ste 1400 , San Francisco CA 94104-2116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shaffer, Carrie can be contacted via phone (219) 776-1282.

Contact Information

Primary practice address
425 California St Ste 1400 San Francisco CA 94104-2116
Phone: (219) 776-1282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4135 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2025023431 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6346 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02002783A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 104692 Georgia

Profile Details

NPI number 1558366153
LBN Legal business name Shaffer, Carrie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558366153 NPPES
Indiana Other 000000717646 ANTHEM TRADITIONAL
Indiana MEDICAID 200497510 ANTHEM TRADITIONAL

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