Provider Demographics
NPI:1306813191
Name:SHAFFER, SABINE (MD)
Entity Type:Individual
Prefix:DR
First Name:SABINE
Middle Name:
Last Name:SHAFFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SABINE
Other - Middle Name:
Other - Last Name:SLIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:595 CHAPEL HILLS DR STE 325
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1022
Mailing Address - Country:US
Mailing Address - Phone:719-364-4141
Mailing Address - Fax:719-364-4140
Practice Address - Street 1:595 CHAPEL HILLS DR STE 325
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1022
Practice Address - Country:US
Practice Address - Phone:719-364-4141
Practice Address - Fax:719-364-4140
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38766207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO29326770Medicaid
518658Medicare ID - Type Unspecified
CO29326770Medicaid