Shepard, Denise Q.
Shepard, Denise Q. is an individual health care provider with primary practice located at 1895 Battlefield Pkwy , Ft Oglethorpe GA 30742-4021. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shepard, Denise Q. can be contacted via phone (706) 861-7166.Contact Information
Primary practice address
1895 Battlefield Pkwy
Ft Oglethorpe GA 30742-4021
Phone: (706) 861-7166
Fax: (706) 861-1799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 893 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 735 | Tennessee |
Profile Details
| NPI number | 1184650988 |
|---|---|
| LBN Legal business name | Shepard, Denise Q. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Feb 17th, 2009 - about 16 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 | 1184650988 | NPPES |
| Tennessee | MEDICAID | 000173788 | |
| Tennessee | MEDICAID | 00394677A |
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