Shepherd, Willard N
Shepherd, Willard N is an individual health care provider with primary practice located at 450 Jones Rd , Rocky Mount NC 27804-8207. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shepherd, Willard N can be contacted via phone (252) 443-1006.Contact Information
Primary practice address
450 Jones Rd
Rocky Mount NC 27804-8207
Phone: (252) 443-1006
Fax: (252) 937-8366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1091 | North Carolina |
Profile Details
| NPI number | 1033170154 |
|---|---|
| LBN Legal business name | Shepherd, Willard N |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Oct 11th, 2021 - about 3 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 | 1033170154 | NPPES |
| North Carolina | MEDICAID | 8909825 | |
| North Carolina | Other | 09825 |
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