Shepherd, Sherry Lynne
Shepherd, Sherry Lynne is an sole proprietor health care provider with primary practice located at 102 Santa Fe Ave , La Junta CO 81050-1523. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shepherd, Sherry Lynne can be contacted via phone (719) 384-8719.Contact Information
Primary practice address
102 Santa Fe Ave
La Junta CO 81050-1523
Phone: (719) 384-8719
Fax: (719) 384-8738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2337 | Colorado |
Profile Details
| NPI number | 1417012956 |
|---|---|
| LBN Legal business name | Shepherd, Sherry Lynne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Dec 6th, 2012 - about 13 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 | 1417012956 | NPPES |
| Colorado | MEDICAID | 73921050 | |
| Colorado | Other | P00476844 |
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