Active NPIIndividual providerSole proprietor

Mr. William M Shafnacker, PAC MHP

Physician Assistant in Branford, Connecticut

NPI Number1518943810
Practice location
6 Business Park Dr Ste 302, Stony Creek Urgent Care, Branford, CT 06405-2988
Fax
203-483-4581
Last updated
January 10, 2012

William Michael Shafnacker is a Physician Assistant based in Branford, CT. William Michael Shafnacker practices in Branford, CT and has the professional credentials of PAC MHP. The NPI Number for William Michael Shafnacker is 1518943810 and holds a License No. 001195 (CT). The current practice location address for William Michael Shafnacker is 6 Business Park Dr Ste 302, Stony Creek Urgent Care, Branford, CT 06405-2988 and can be reached out via phone at 203-483-4580 and via fax at 203-483-4581.

Provider Profile Details

NPI Number
1518943810
Provider Name
William Michael Shafnacker
Credential
PAC MHP
Provider Entity Type
Individual
Gender
Male
Address
6 Business Park Dr Ste 302, Stony Creek Urgent Care, Branford, CT 06405-2988
Phone Number
203-483-4580
Fax Number
203-483-4581
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 19, 2005
Last Update Date
January 10, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Business Park Dr Ste 302
Stony Creek Urgent Care
Branford, CT 06405-2988
Zip
06405-2988
Phone Number
203-483-4580
Fax Number
203-483-4581
Branford, CT 06405Get directions →

Provider Business Mailing Address Details

Address
28 Woodland Dr
Clinton, CT 06413-1301
City
Clinton
State
CT
Zip
06413-1301
Phone Number
860-669-4209
Fax Number
860-669-4209

License Information

License Number (1)
001195
License State (1)
CT
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
789
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. William M Shafnacker, PAC MHP?

The NPI number of Mr. William M Shafnacker, PAC MHP is 1518943810. It was assigned on December 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Mr. William M Shafnacker, PAC MHP?

Mr. William M Shafnacker, PAC MHP is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001195.

Where does Mr. William M Shafnacker, PAC MHP practice?

The practice location is 6 Business Park Dr Ste 302, Stony Creek Urgent Care, Branford, CT 06405-2988. The office can be reached at 203-483-4580 (phone) or 203-483-4581 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518943810 directly on the NPPES registry website.

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