Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 27233 | SC |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | DR.0039403 | CO |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD446245 | PA |
NPI | 1356313936 |
---|---|
Provider Name | Albert J Schaefer |
First Address | Grand Junction, CO 81501-4536 |
Second Address | Grand Junction, CO 81501-4536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002371200 | (05) | FL |
272332 | (05) | SC |
35150041 | (05) | CO |
H04062 | (02) | SC |