Shepard, Michelle Madeline

Shepard, Michelle Madeline is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Shepard, Michelle Madeline can be contacted via phone (843) 577-5011.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Phone: (843) 577-5011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 1016791 Massachusetts
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 23565 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 23565 South Carolina

Profile Details

NPI number 1861491391
LBN Legal business name Shepard, Michelle Madeline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Apr 1st, 2024 - about 8 months 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 1861491391 NPPES
South Carolina MEDICAID T78699

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