Shepherd, Jack W
Shepherd, Jack W is an sole proprietor health care provider with primary practice located at 110 Pocahontas Trl Suite E, Georgetown KY 40324-1167. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shepherd, Jack W can be contacted via phone (502) 863-4651.Contact Information
Primary practice address
110 Pocahontas Trl Suite E
Georgetown KY 40324-1167
Phone: (502) 863-4651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3473 | Kentucky |
Profile Details
| NPI number | 1528197548 |
|---|---|
| LBN Legal business name | Shepherd, Jack W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Popular Providers
-
Abadi, Serder
240 Blossom Park Dr Suite 1, Georgetown KY 40324-9079 -
Speicher, Mary A
7915 Lake Manassas Dr Suite 115, Gainesville VA 20155-3258 -
Land, James Franklin
227 E Main St , Georgetown KY 40324-1711 -
Mutschler, Mark
13908 Se Stark St Ste C, Portland OR 97233-2161 -
Nunemaker, Merle Allan
400 E Red Bridge Rd Ste 120, Kansas City MO 64131-4029 -
Hildebrand, Ross Alan
3822 6Th St , Great Bend KS 67530-9733 -
Jacobson, Eric Stefan
1508 Oxford Dr , Georgetown KY 40324-9266 -
Rusher, Phillip D
240 Blossom Park Dr Ste 1 , Georgetown KY 40324-8075