Shepherd, Ross William

Shepherd, Ross William is an individual health care provider with primary practice located at 1 Childrens Pl , Saint Louis MO 63110-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Shepherd, Ross William can be contacted via phone (314) 454-6173.

Contact Information

Primary practice address
1 Childrens Pl Saint Louis MO 63110-1002
Phone: (314) 454-6173
Fax: (314) 454-2412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 2000144173 Missouri

Profile Details

NPI number 1215954771
LBN Legal business name Shepherd, Ross William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215954771 NPPES
Missouri MEDICAID 205020605

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