Shaffer, Loretta J.
Shaffer, Loretta J. is an individual health care provider with primary practice located at 2601 Forest Drive Agape Senior Primary Care Inc, Columbia SC 29204-2363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shaffer, Loretta J. can be contacted via phone (803) 491-0909.Contact Information
Primary practice address
2601 Forest Drive Agape Senior Primary Care Inc
Columbia SC 29204-2363
Phone: (803) 491-0909
Fax: (843) 353-2581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2832 | South Carolina |
Profile Details
| NPI number | 1033163456 |
|---|---|
| LBN Legal business name | Shaffer, Loretta J. |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033163456 | NPPES |
| South Carolina | Other | 2832 | SC BD OF NURSING LIC # |
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