Shepard, Garrett L
Shepard, Garrett L is an individual health care provider with primary practice located at 1300 Creason Rd , Corning AR 72422-1716. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shepard, Garrett L can be contacted via phone (870) 857-3399.Contact Information
Primary practice address
1300 Creason Rd
Corning AR 72422-1716
Phone: (870) 857-3399
Fax: (870) 857-3301
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9698-C | Arkansas |
Profile Details
NPI number | 1477923803 |
---|---|
LBN Legal business name | Shepard, Garrett L |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2015 |
Last updated | Jul 18th, 2023 - about 2 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 | 1477923803 | NPPES |
Arkansas | MEDICAID | 243478795 |
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