Shepard, Deborah Apollo

Shepard, Deborah Apollo is an individual health care provider with primary practice located at 7410 Beechmont Ave , Cincinnati OH 45255-4102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shepard, Deborah Apollo can be contacted via phone (513) 231-4591.

Contact Information

Primary practice address
7410 Beechmont Ave Cincinnati OH 45255-4102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 06263 Ohio

Profile Details

NPI number 1043205628
LBN Legal business name Shepard, Deborah Apollo
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Apr 25th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043205628 NPPES
West Virginia Other 1043205628 MTN ST BCBS
West Virginia MEDICAID 3810014055 MTN ST BCBS
West Virginia Other 613154600 MTN ST BCBS
West Virginia MEDICAID 2275461 MTN ST BCBS
West Virginia MEDICAID 000000270627 MTN ST BCBS

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