Shepard, Scott B

Shepard, Scott B is an individual health care provider with primary practice located at 105 Delta Park Dr Ste B , Shelby NC 28150-3575. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shepard, Scott B can be contacted via phone (704) 484-0464.

Contact Information

Primary practice address
105 Delta Park Dr Ste B Shelby NC 28150-3575
Phone: (704) 484-0464
Fax: (704) 482-0308
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.9104640 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 430 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001011979 North Carolina

Profile Details

NPI number 1659339844
LBN Legal business name Shepard, Scott B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 10th, 2022 - about 2 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 1659339844 NPPES
Florida MEDICAID 009450700

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