Dr. Warren Basil Shaffer
Family Doctor - Adult Medicine
2867 Duke St
Alexandria
, Virginia 22314-4512
Dr. Warren Basil Shaffer
Family Doctor - Adult Medicine
2867 Duke St
Alexandria
, Virginia 22314-4512
(703) 212-7399
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Warren Basil Shaffer
- 2867 Duke St
- Alexandria, VA
- Zip : 22314-4512
- Fax : (703) 212-7399
- Phone : (703) 212-7397
Second Address
- Dr. Warren Basil Shaffer
- 2867 Duke St
- Alexandria, VA
- Zip : 22314-4512
- Fax : (703) 212-7399
- Phone : (703) 212-7397
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 0101057177 | VA |
National Provider Identifier
| NPI | 1346385457 |
|---|---|
| Provider Name | Dr. Warren Basil Shaffer |
| First Address | Alexandria, VA 22314-4512 |
| Second Address | Alexandria, VA 22314-4512 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0101057177 | STATE LICENSE NUMBER (01) | VA |
| BS5769433 | FEDERAL DEA NUMBER (01) | |
| H83279 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.