Shepherd, Robert Edward
Shepherd, Robert Edward is an sole proprietor health care provider with primary practice located at 1317 N Elm St Suite 1B, Greensboro NC 27401-1023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Shepherd, Robert Edward can be contacted via phone (336) 274-4285.Contact Information
Primary practice address
1317 N Elm St Suite 1B
Greensboro NC 27401-1023
Phone: (336) 274-4285
Fax: (336) 482-2177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 24708 | North Carolina |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 0024708 | North Carolina |
Profile Details
| NPI number | 1790733780 |
|---|---|
| LBN Legal business name | Shepherd, Robert Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Dec 20th, 2010 - about 14 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 | 1790733780 | NPPES |
| North Carolina | Other | 1600280 | UNITED HEALTHCARE |
| North Carolina | Other | 1085 | UNITED HEALTHCARE |
| North Carolina | Other | 300065910 | UNITED HEALTHCARE |
| North Carolina | MEDICAID | 8975686 | UNITED HEALTHCARE |
| North Carolina | MEDICAID | 1790733780 | UNITED HEALTHCARE |
| North Carolina | Other | 70516 | UNITED HEALTHCARE |
| North Carolina | Other | 75686 | UNITED HEALTHCARE |
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