Shepard, Louis Ervin

Shepard, Louis Ervin is an individual health care provider with primary practice located at 807 S Pendleton St , Easley SC 29640-3527. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shepard, Louis Ervin can be contacted via phone (864) 859-0111.

Contact Information

Primary practice address
807 S Pendleton St Easley SC 29640-3527
Fax: (864) 859-0112
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1450 South Carolina

Profile Details

NPI number 1962460873
LBN Legal business name Shepard, Louis Ervin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 8th, 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 1962460873 NPPES
South Carolina MEDICAID ZX1450

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