Shaffer, Jonathan

Shaffer, Jonathan is an sole proprietor health care provider with primary practice located at 6121 W 60Th Ave , Arvada CO 80003-5603. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shaffer, Jonathan can be contacted via phone (303) 420-4550.

Contact Information

Primary practice address
6121 W 60Th Ave Arvada CO 80003-5603
Phone: (303) 420-4550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 019151 New York

Profile Details

NPI number 1801170220
LBN Legal business name Shaffer, Jonathan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2011
Last updated Aug 1st, 2016 - about 10 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 1801170220 NPPES
Colorado Other 13862744 CAQH
Colorado Other PSY.0004404 CAQH

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