Shepherd, Jonathan Paul

Shepherd, Jonathan Paul is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-8036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Shepherd, Jonathan Paul can be contacted via phone (860) 679-4100.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-8036
Phone: (860) 679-4100
Fax: (860) 679-1064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 55313 Connecticut
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 269626 Massachusetts
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 55313 Connecticut

Profile Details

NPI number 1114048329
LBN Legal business name Shepherd, Jonathan Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114048329 NPPES
Massachusetts MEDICAID 110128968A

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