Shepherd, Tchaka Bayete
Shepherd, Tchaka Bayete is an sole proprietor health care provider with primary practice located at 701 E 28Th Street Suite 411, Long Beach CA 90806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shepherd, Tchaka Bayete can be contacted via phone (562) 427-1322.Contact Information
Primary practice address
701 E 28Th Street Suite 411
Long Beach CA 90806
Phone: (562) 427-1322
Fax: (562) 427-4282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A72326 | California |
Profile Details
| NPI number | 1124078670 |
|---|---|
| LBN Legal business name | Shepherd, Tchaka Bayete |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Dec 14th, 2010 - about 15 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 | 1124078670 | NPPES |
| California | MEDICAID | OOA723260 |
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