Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 201100785 | NC |
NPI | 1063419976 |
---|---|
Provider Name | Dr. Paul L Schaefer |
First Address | Fletcher, NC 28732-1869 |
Second Address | Hendersonville, NC 28792 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 19/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110051500 | MEDICARE RAILROAD (01) | |
163XN | BCBS OF NC (01) | NC |
32338 | SC LICENSE (01) | SC |
C01472 | (02) | |
P01338428 | RR MEDICARE (01) | NC |