Shepherd, Lisa A

Shepherd, Lisa A is an individual health care provider with primary practice located at 2015 W 5Th St , Storm Lake IA 50588-3000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shepherd, Lisa A can be contacted via phone (712) 732-5030.

Contact Information

Primary practice address
2015 W 5Th St Storm Lake IA 50588-3000
Phone: (712) 732-5030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35941 Iowa

Profile Details

NPI number 1063499184
LBN Legal business name Shepherd, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Dec 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063499184 NPPES
Iowa Other 00881 BC/BS ER LOCATION
Iowa Other 01644 BC/BS ER LOCATION
Iowa MEDICAID 1469452 BC/BS ER LOCATION
Iowa Other I14710 BC/BS ER LOCATION
Iowa Other 0121965 BC/BS ER LOCATION
Iowa Other 246974 BC/BS ER LOCATION
Iowa Other 4878 BC/BS ER LOCATION
Iowa MEDICAID 0469452 BC/BS ER LOCATION
Iowa Other 45838 BC/BS ER LOCATION
Iowa Other 42603840551041 BC/BS ER LOCATION
Iowa Other 01644 BC/BS ER LOCATION
Iowa Other 426038405 BC/BS ER LOCATION
Iowa Other 9233000 BC/BS ER LOCATION
Iowa Other 0121965 BC/BS ER LOCATION
Iowa Other 703361045139 BC/BS ER LOCATION

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