Individual
JACOB PETER SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(978) 855-1402
Mailing address
2222 FORESTLAKE DR, CINCINNATI, OH 45244-2803
(978) 855-1402
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2022-02891
NC
390200000X
Student in an Organized Health Care Education/Training Program
251168
NC
Other
Enumeration date
04/18/2019
Last updated
07/18/2023
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