Shaffer Professional Services

LBN: Shelley Ann Shaffer
Shaffer Professional Services 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:
Map and Directions
Authorized official contact:
Name: Shaffer, Shelley A
Phone: (218) 380-0175

Health care specialties

SpecialtyCodeLicense #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 Shaffer Professional Services
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275147266 NPPES
Minnesota MEDICAID 1275147266

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