Shepard, Matthew
Shepard, Matthew is an individual health care provider with primary practice located at 211 Saint Francis Dr , Cape Girardeau MO 63703-5049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shepard, Matthew can be contacted via phone (573) 331-5770.Contact Information
Primary practice address
211 Saint Francis Dr
Cape Girardeau MO 63703-5049
Phone: (573) 331-5770
Fax: (573) 331-3974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 113520 | Missouri |
Profile Details
| NPI number | 1205988573 |
|---|---|
| LBN Legal business name | Shepard, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Feb 26th, 2021 - about 3 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 | 1205988573 | NPPES |
| Missouri | Other | 117199 | BCBS |
| Missouri | Other | 332821 | BCBS |
| Missouri | MEDICAID | 64069206 | BCBS |
| Missouri | MEDICAID | 150428001 | BCBS |
| Missouri | Other | 110210851 | BCBS |
| Missouri | MEDICAID | 208841411 | BCBS |
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