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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1902989825 NPPES
South Carolina MEDICAID QM0528

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