Shepherd, Renee Elizabeth

Shepherd, Renee Elizabeth is an individual health care provider with primary practice located at 3974 Springfield Rd , Glen Allen VA 23060-4119. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Shepherd, Renee Elizabeth can be contacted via phone (804) 273-1717.

Contact Information

Primary practice address
3974 Springfield Rd Glen Allen VA 23060-4119
Phone: (804) 273-1717
Fax: (804) 273-1834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E5569 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X SC006766 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103301338 Virginia

Profile Details

NPI number 1558713420
LBN Legal business name Shepherd, Renee Elizabeth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2016
Last updated Mar 7th, 2023 - about 2 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 1558713420 NPPES
California Other E5569 LICENSE

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