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Brian Todd Shaffer
Student in an Organized Health Care Education/Training Program in Lynchburg, Virginia
NPI 1447825161

Brian Todd Shaffer is a Student in an Organized Health Care Education/Training Program based in Lynchburg, VA. Brian Todd Shaffer practices in Lynchburg, VA. The NPI Number for Brian Todd Shaffer is 1447825161 and holds a License No. 0116035173 (Virginia).

The current practice location address for Brian Todd Shaffer is 2323 Memorial Ave Ste 10, Lynchburg, VA and can be reached out via phone at 434-200-5200.

Location: 2323 Memorial Ave Ste 10, Lynchburg, VA, 24501-2652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447825161
Provider Name
Brian Todd Shaffer
Credential
Provider Entity Type
Individual
Gender
Male
Address
2323 Memorial Ave Ste 10, Lynchburg, VA, 24501-2652
Phone Number
434-200-5200
Fax Number
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207Q00000X 01 VA FAMILY MEDICINE
institution
Provider Business Practice Location Address Details
Address
2323 Memorial Ave Ste 10
City
Lynchburg
State
Virginia
Zip
24501-2652
Phone Number
434-200-5200
Fax Number
person
Provider Business Mailing Address Details
Address
2323 Memorial Ave Ste 10
City
Lynchburg
State
Virginia
Zip
24501-2652
Phone Number
434-200-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0116035173 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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