Shepherd, Ronald G

Shepherd, Ronald G is an sole proprietor health care provider with primary practice located at 700 Eagle Ridge Rd , Le Claire IA 52753-9593. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Orthopedic, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Shepherd, Ronald G can be contacted via phone (563) 289-3242.

Contact Information

Primary practice address
700 Eagle Ridge Rd Le Claire IA 52753-9593
Phone: (563) 289-3242
Fax: (563) 289-4541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X AO5839 Iowa
Chiropractic Providers / Sports Physician 111NS0005X AO5839 Iowa

Profile Details

NPI number 1912901463
LBN Legal business name Shepherd, Ronald G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2005
Last updated May 13th, 2022 - 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 1912901463 NPPES
Iowa MEDICAID 0132407
Iowa Other 50512

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