Shepherd, John Murdaugh
Shepherd, John Murdaugh is an individual health care provider with primary practice located at 5249 Olde Towne Rd Olde Towne Medical Center, Williamsburg VA 23188-8111. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shepherd, John Murdaugh can be contacted via phone (757) 259-3255.Contact Information
Primary practice address
5249 Olde Towne Rd Olde Towne Medical Center
Williamsburg VA 23188-8111
Phone: (757) 259-3255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401003167 | Virginia |
Profile Details
| NPI number | 1558567115 |
|---|---|
| LBN Legal business name | Shepherd, John Murdaugh |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Apr 18th, 2011 - about 14 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 | 1558567115 | NPPES |
| Virginia | MEDICAID | 004909976 |
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