Shepard, Leigh Ann
Shepard, Leigh Ann is an individual health care provider with primary practice located at 5 Care Ln , Saratoga Springs NY 12866-8623. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Shepard, Leigh Ann can be contacted via phone (518) 489-2663.Contact Information
Primary practice address
5 Care Ln
Saratoga Springs NY 12866-8623
Phone: (518) 489-2663
Fax: (518) 689-3881
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9110522 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 015998 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 015998 | New York |
Profile Details
NPI number | 1972855971 |
---|---|
LBN Legal business name | Shepard, Leigh Ann |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 15th, 2012 |
Last updated | Dec 7th, 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 | 1972855971 | NPPES |
New York | Other | 015998 | NY LICENSE |
New York | MEDICAID | 03537340 | NY LICENSE |
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