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Contact Information

DEANNA A SHAFFER
100 PINNACLE DR
FREMONT, OH43420-7400
 Phone: 419-332-0310
 Fax: 419-332-0296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for DEANNA A SHAFFER · (Female)

NPI Number 1407512437
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2021
Last updated 11/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # RN180622
  • OH Medicaid 36-2791
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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