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Contact Information

KATHLEEN M SHAFER, M.A., R.D.
1200 B GALE WILSON BLVD
NUTRITION SERVICES AT NORTHBAY HEALTHCARE
FAIRFIELD, CA94533
 Phone: 707-429-7870
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KATHLEEN M SHAFER · (Female)

NPI # 1255507778
Status Active
Credentials M.A., R.D.
Entity Individual
Enumeration date 05/05/2008
Last updated 05/05/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 719448
Hospital affiliation(s) Not Available
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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