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Contact Information

BRIAN D SHAFER, DO
105 W STONE DR
STE 3A
KINGSPORT, TN37660-3365
 Phone: 423-392-6200
 Fax: 423-392-6593
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRIAN D SHAFER · (Male)

NPI # 1316131998
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/28/2007
Last updated 02/03/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2009-01336
  • TN License # DO2151
Hospital affiliation(s)
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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