Shepherd, David James

Shepherd, David James is an individual health care provider with primary practice located at 721 W Broadway Ave Ste D , Enid OK 73701-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shepherd, David James can be contacted via phone (580) 237-0322.

Contact Information

Primary practice address
721 W Broadway Ave Ste D Enid OK 73701-3800
Phone: (580) 237-0322
Fax: (580) 233-0402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12880 Oklahoma

Profile Details

NPI number 1174529986
LBN Legal business name Shepherd, David James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Mar 7th, 2023 - 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 1174529986 NPPES
Other P00066745 RAILROAD MEDICARE PTAN
Other 730776935005 RAILROAD MEDICARE PTAN
MEDICAID 100123330A RAILROAD MEDICARE PTAN

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