Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101244544 | VA |
N | 111NI0900X | Internist | 0101244544 | VA |
Y | 207RI0200X | Infectious Disease | 2013-01558 | NC |
NPI | 1073727079 |
---|---|
Provider Name | Katherine R Schafer |
First Address | Winston-Salem, NC 27157-1042 |
Second Address | Winston-Salem, NC 27157 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 29/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1073727079 | (05) | VA |