<Unavail>
LBN: Shelley Ann Shaffer
<Unavail> is an health care organization with primary practice located at 501 Arrowhead Ln , Moose Lake MN 55767-7707. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Shelley Ann Shaffer can be contacted via phone (218) 380-0175, or through Shaffer, Shelley A via phone (218) 380-0175.
Contact Information
Primary practice address
501 Arrowhead Ln
Moose Lake MN 55767-7707
Phone: (218) 380-0175
Fax: (218) 485-9105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1275147266 |
|---|---|
| LBN Legal business name | Shelley Ann Shaffer |
| DBA Doing business as | <Unavail> |
| Authorized official | Shaffer, Shelley A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2020 |
| Last updated | Mar 1st, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275147266 | NPPES |
| Minnesota | MEDICAID | 1275147266 |
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