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Contact Information

JAQUELINE M SHAFER
105 BONNYBRIDGE CT
ELLISVILLE, MO63021-4507
 Phone: 314-914-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

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

NPI # 1508380171
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 005080
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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