Shepherd, Tammy

Shepherd, Tammy is an individual health care provider with primary practice located at 15465 Oak Ln Ste 100J , Gulfport MS 39503-2663. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Shepherd, Tammy can be contacted via phone (228) 357-5304.

Contact Information

Primary practice address
15465 Oak Ln Ste 100J Gulfport MS 39503-2663
Fax:
Website:

Health care specialties

Profile Details

NPI number 1518623800
LBN Legal business name Shepherd, Tammy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2021
Last updated Nov 11th, 2021 - about 4 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 1518623800 NPPES
Mississippi Other 802053968 DRIVERS LICENSE

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