Shepherd, Jacob Matthew

Shepherd, Jacob Matthew is an sole proprietor health care provider with primary practice located at 331 Sijen Ave , Whiteman Afb MO 65305. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shepherd, Jacob Matthew can be contacted via phone (660) 287-2180.

Contact Information

Primary practice address
331 Sijen Ave Whiteman Afb MO 65305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X MD-44454 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2018023747 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2018023747 Missouri

Profile Details

NPI number 1730574963
LBN Legal business name Shepherd, Jacob Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2015
Last updated Feb 16th, 2024 - 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.

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