Shaffer, John Wayne

Shaffer, John Wayne is an individual health care provider with primary practice located at 500 W Front St , Boise ID 83702-7231. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Shaffer, John Wayne can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W Front St Boise ID 83702-7231
Phone: (208) 422-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 54544 Idaho

Profile Details

NPI number 1396358438
LBN Legal business name Shaffer, John Wayne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2020
Last updated Aug 28th, 2020 - about 6 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 1396358438 NPPES
Idaho Other 54544 VETERANS ADMINISTRATION
Idaho Other 54544 VETERANS ADMINISTRATION

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