Shepard, Stephen H
Shepard, Stephen H is an individual health care provider with primary practice located at 222 S Herlong Ave , Rock Hill SC 29732-1158. 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, Stephen H can be contacted via phone (803) 329-6849.Contact Information
Primary practice address
222 S Herlong Ave
Rock Hill SC 29732-1158
Phone: (803) 329-6849
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | A344 | South Carolina |
Profile Details
NPI number | 1902989825 |
---|---|
LBN Legal business name | Shepard, Stephen H |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2006 |
Last updated | Nov 28th, 2007 - about 18 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 | 1902989825 | NPPES |
South Carolina | MEDICAID | QM0528 |
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