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NPI Code Detail

MEDICARE: VIRGINIA E SHAFER M.D.

MEDICARE:   VIRGINIA E SHAFER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD025185EPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00260454OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3146127OTHERPABLUE SHIELD

General Provider Information

NPI Number : 1740297977
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA E SHAFER M.D.
Provider Business Mailing Address
First Line : PO BOX 130
Second Line :
City : TERRE HILL
State : PA
Zip : 17581-0130
Country : US
Telephone Number : 717-445-4576
Fax Number : 717-445-4483
Provider Business Practice Location Address
First Line : 770 BROAD STREET
Second Line :
City : EAST EARL
State : PA
Zip : 17519
Country : US
Telephone Number : 717-445-4576
Fax Number : 717-445-4483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 03/09/2012

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Directions to “ VIRGINIA E SHAFER M.D.” Practice Location

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