Shaffer, Nicole M

Shaffer, Nicole M is an sole proprietor health care provider with primary practice located at 2369 109Th Ave Nw , Coon Rapids MN 55433-4156. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Shaffer, Nicole M can be contacted via phone (763) 506-2800.

Contact Information

Primary practice address
2369 109Th Ave Nw Coon Rapids MN 55433-4156
Phone: (763) 506-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1901 Minnesota

Profile Details

NPI number 1497151385
LBN Legal business name Shaffer, Nicole M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2014
Last updated Nov 5th, 2014 - about 12 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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