Shepard, Laurie L
Shepard, Laurie L is an individual health care provider with primary practice located at 6836 E Brown Rd Ste 102, Mesa AZ 85207-3756. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Shepard, Laurie L can be contacted via phone (480) 924-5514.Contact Information
Primary practice address
6836 E Brown Rd Ste 102
Mesa AZ 85207-3756
Phone: (480) 924-5514
Fax: (480) 924-5518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 962 | Arizona |
Profile Details
| NPI number | 1033116397 |
|---|---|
| LBN Legal business name | Shepard, Laurie L |
| Credentials | PT, OCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Oct 12th, 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 | 1033116397 | NPPES |
| Arizona | MEDICAID | 054940 |
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