Shaffer, Joseph Jacob

Shaffer, Joseph Jacob is an individual health care provider with primary practice located at 1215 Town Centre Dr Suite 200, Eagan MN 55123-1033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Shaffer, Joseph Jacob can be contacted via phone (651) 255-3300.

Contact Information

Primary practice address
1215 Town Centre Dr Suite 200 Eagan MN 55123-1033
Phone: (651) 255-3300
Fax: (651) 255-3450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 42452 Minnesota
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 42452 Minnesota

Profile Details

NPI number 1427167691
LBN Legal business name Shaffer, Joseph Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 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 1427167691 NPPES
Minnesota MEDICAID 061605200

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