Shepard, Michael

Shepard, Michael is an sole proprietor health care provider with primary practice located at 564 S Dora St Suite D, Ukiah CA 95482-5486. He recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as his primary health care specialty. Shepard, Michael can be contacted via phone (800) 555-5906.

Contact Information

Primary practice address
564 S Dora St Suite D Ukiah CA 95482-5486
Phone: (800) 555-5906
Fax: (707) 472-0121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X A8074031 California

Profile Details

NPI number 1497157135
LBN Legal business name Shepard, Michael
Credentials RAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2014
Last updated Sep 25th, 2014 - about 11 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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