Shepard, George

Shepard, George is an individual health care provider with primary practice located at 13677 W Mcdowell Rd , Goodyear AZ 85338-2618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shepard, George can be contacted via phone (623) 882-1500.

Contact Information

Primary practice address
13677 W Mcdowell Rd Goodyear AZ 85338-2618
Phone: (623) 882-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20925 Arizona

Profile Details

NPI number 1174507396
LBN Legal business name Shepard, George
Credentials MD MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Nov 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174507396 NPPES
Arizona Other 453051001 GROUP HEALTH GROUP
Arizona Other 3981220 GROUP HEALTH GROUP
Arizona Other 860373636 GROUP HEALTH GROUP
Arizona Other AW1436 GROUP HEALTH GROUP
Arizona MEDICAID 118861 GROUP HEALTH GROUP
Arizona Other AZ0728670 GROUP HEALTH GROUP

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