Shepard, Ashley Kirsten
Shepard, Ashley Kirsten is an individual health care provider with primary practice located at 85 Seymour St Ste 409, Hartford CT 06106. She recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Shepard, Ashley Kirsten can be contacted via phone (860) 547-0616.Contact Information
Primary practice address
85 Seymour St Ste 409
Hartford CT 06106
Phone: (860) 547-0616
Fax: (860) 524-2655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 000777 | Connecticut |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 000777 | Connecticut |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 000777 | Connecticut |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 000777 | Connecticut |
Profile Details
| NPI number | 1790770733 |
|---|---|
| LBN Legal business name | Shepard, Ashley Kirsten |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jul 12th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790770733 | NPPES |
| Connecticut | Other | 2V3380 | HEALTH NET |
| Connecticut | MEDICAID | 0322890 | HEALTH NET |
| Connecticut | Other | 077700 | HEALTH NET |
| Connecticut | Other | 030000777CT01 | HEALTH NET |
| Connecticut | Other | 1176045 002 | HEALTH NET |
| Connecticut | Other | 3225079 | HEALTH NET |
| Connecticut | Other | P2883933 | HEALTH NET |
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