Shaffer, Kevin P

Shaffer, Kevin P is an individual health care provider with primary practice located at 149 W 22Nd St , Erie PA 16502-2804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shaffer, Kevin P can be contacted via phone (814) 456-5433.

Contact Information

Primary practice address
149 W 22Nd St Erie PA 16502-2804
Phone: (814) 456-5433
Fax: (814) 456-0383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD027215E Pennsylvania

Profile Details

NPI number 1508856824
LBN Legal business name Shaffer, Kevin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Mar 10th, 2018 - about 8 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 1508856824 NPPES
Pennsylvania Other P00308630 RR MEDICARE
Pennsylvania Other 000513295 RR MEDICARE

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