Tajchman, Jennifer Shifley

Tajchman, Jennifer Shifley is an individual health care provider with primary practice located at 4945 Williams Dr , Georgetown TX 78633-2008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tajchman, Jennifer Shifley can be contacted via phone (512) 819-0500.

Contact Information

Primary practice address
4945 Williams Dr Georgetown TX 78633-2008
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L7178 Texas

Profile Details

NPI number 1902867666
LBN Legal business name Tajchman, Jennifer Shifley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Dec 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902867666 NPPES
Texas Other P00197889 RR/MEDICARE
Texas Other 8P1489 RR/MEDICARE
Texas Other 1708091-01 RR/MEDICARE
Texas MEDICAID 1708091-01 RR/MEDICARE

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