Shepherd, Michelle G
Shepherd, Michelle G is an sole proprietor health care provider with primary practice located at 1000 Holcomb Woods Pkwy Ste426, Roswell GA 30076-2575. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Shepherd, Michelle G can be contacted via phone (770) 641-8070.Contact Information
Primary practice address
1000 Holcomb Woods Pkwy Ste426
Roswell GA 30076-2575
Phone: (770) 641-8070
Fax: (770) 698-4178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT003006 | Georgia |
Profile Details
| NPI number | 1366508921 |
|---|---|
| LBN Legal business name | Shepherd, Michelle G |
| Credentials | MSOTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | May 20th, 2008 - about 17 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 | 1366508921 | NPPES |
| Georgia | MEDICAID | 000959758A | |
| Georgia | Other | 930129 |
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