Individual
DR. MATTHEW JAMES SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-6200
(606) 408-6825
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22835
WV
207Q00000X
Family Medicine Physician
Primary
44465
KY
208M00000X
Hospitalist Physician
44465
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3159764
—
OH
05
—
7100156550
—
KY
Enumeration date
08/06/2007
Last updated
04/07/2017
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