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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1558713420 | NPPES |
California | Other | E5569 | LICENSE |
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