Shepherd, Amy Balducci
Shepherd, Amy Balducci is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Shepherd, Amy Balducci can be contacted via phone (601) 984-2000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 18335 | Mississippi |
Profile Details
NPI number | 1881638666 |
---|---|
LBN Legal business name | Shepherd, Amy Balducci |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Jun 12th, 2012 - about 12 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 | 1881638666 | NPPES |
Mississippi | MEDICAID | 00121927 | |
Mississippi | MEDICAID | 1461032 |
Popular Providers
-
Wang, Sophia Shuangyu
2500 N State St , Jackson MS 39216-4500 -
Livingston, Erin Newman
2500 N State St , Jackson MS 39216-4500 -
Wahl, Nancy Grant
2500 N State St , Jackson MS 39216-4500 -
Buchan, Jared Keith
2500 N State St , Jackson MS 39216-4500 -
Holder, Michael Gordon
2500 N State St , Jackson MS 39216-4500 -
Maready, Matthew W
2500 N State St , Jackson MS 39216-4500 -
Gomez, Fernando
2500 North State Street University Of Mississippi Medical Center, Jackson MS 39216-4505 -
Dillard, Benjamin Clark
2500 N State St , Jackson MS 39216-4500