Shepard, Dana Lynn
Shepard, Dana Lynn is an sole proprietor health care provider with primary practice located at 3600 E Main St , Waterbury CT 06705-3851. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shepard, Dana Lynn can be contacted via phone (203) 596-0406.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2198 | Connecticut |
Profile Details
| NPI number | 1003927856 |
|---|---|
| LBN Legal business name | Shepard, Dana Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1003927856 | NPPES |
| Connecticut | Other | 090002198CT12 | ANTHEM BLUE CROSS |
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