Shaffer, James Christopher

Shaffer, James Christopher is an sole proprietor health care provider with primary practice located at 1700 17Th St Nw Building Unit 417801 #6, Austin MN 55912-6355. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Community Health is his primary health care specialty. Shaffer, James Christopher can be contacted via phone (507) 440-0767.

Contact Information

Primary practice address
1700 17Th St Nw Building Unit 417801 #6 Austin MN 55912-6355
Phone: (507) 440-0767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 32355 Minnesota

Profile Details

NPI number 1205811312
LBN Legal business name Shaffer, James Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2005
Last updated May 12th, 2011 - about 15 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 1205811312 NPPES
Minnesota MEDICAID 274392200
Minnesota Other 370004646

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