Shepherd, Elian Michael
Shepherd, Elian Michael is an sole proprietor health care provider with primary practice located at 9235 Broadway , Merrillville IN 46410-7046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Shepherd, Elian Michael can be contacted via phone (219) 738-2255.Contact Information
Primary practice address
9235 Broadway
Merrillville IN 46410-7046
Phone: (219) 738-2255
Fax: (219) 738-2060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01033705A | Indiana |
Profile Details
| NPI number | 1700921996 |
|---|---|
| LBN Legal business name | Shepherd, Elian Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Mar 8th, 2016 - about 9 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 | 1700921996 | NPPES |
| Indiana | MEDICAID | 100195070A | |
| Indiana | Other | 000000086878 | |
| Indiana | Other | 200020693 |
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