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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1174529986 | NPPES |
Other | P00066745 | RAILROAD MEDICARE PTAN | |
Other | 730776935005 | RAILROAD MEDICARE PTAN | |
MEDICAID | 100123330A | RAILROAD MEDICARE PTAN |
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