Shepard, Amanda
Shepard, Amanda is an individual health care provider with primary practice located at 7562 Old Route 13 , Marion IL 62959-7776. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Shepard, Amanda can be contacted via phone (618) 993-8333.Contact Information
Primary practice address
7562 Old Route 13
Marion IL 62959-7776
Phone: (618) 993-8333
Fax: (618) 993-8335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 020012581 | Illinois |
Profile Details
| NPI number | 1437876562 |
|---|---|
| LBN Legal business name | Shepard, Amanda |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2022 |
| Last updated | Oct 19th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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