Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35066605 | OH |
Y | 207L00000X | Anesthesiologist | 4301036655 | MI |
NPI | 1013930015 |
---|---|
Provider Name | Sharon M Schafer |
First Address | Troy, MI 48085-3154 |
Second Address | Troy, MI 48085-3154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 18/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04097 | PARAMOUNT (01) | |
2674495 | (05) | OH |
4386224-10 | (05) | MI |
4472841-10 | (05) | MI |
4505989-10 | (05) | MI |
4587803-10 | (05) | MI |
A76671 | (02) | MI |
P00366270 | RAILROAD MEDICARE (01) |