Shaffer, Mark Edward

Shaffer, Mark Edward is an sole proprietor health care provider with primary practice located at 56 Us Highway 321 Byp N , Winnsboro SC 29180-7100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shaffer, Mark Edward can be contacted via phone (803) 635-6099.

Contact Information

Primary practice address
56 Us Highway 321 Byp N Winnsboro SC 29180-7100
Phone: (803) 635-6099
Fax: (803) 635-6343
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31836 South Carolina

Profile Details

NPI number 1639308380
LBN Legal business name Shaffer, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2009
Last updated Jun 25th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639308380 NPPES
South Carolina MEDICAID 318365

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