Shepard, Mark J

Shepard, Mark J is an individual health care provider with primary practice located at 7442 Frank Ave Nw , North Canton OH 44720-7022. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shepard, Mark J can be contacted via phone (330) 305-0838.

Contact Information

Primary practice address
7442 Frank Ave Nw North Canton OH 44720-7022
Phone: (330) 305-0838
Fax: (330) 305-2514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35068710 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 34068710 Ohio

Profile Details

NPI number 1265420012
LBN Legal business name Shepard, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Sep 30th, 2020 - about 4 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 1265420012 NPPES
Ohio MEDICAID 0156941
Ohio Other H234290

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