Shepherdson, John Dudley

Shepherdson, John Dudley is an individual health care provider with primary practice located at 107 E Jefferson St , Morton IL 61550-2001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shepherdson, John Dudley can be contacted via phone (309) 266-9711.

Contact Information

Primary practice address
107 E Jefferson St Morton IL 61550-2001
Phone: (309) 266-9711
Fax: (309) 266-6322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1164535910
LBN Legal business name Shepherdson, John Dudley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1164535910 NPPES
Illinois Other 058746 HEALTH ALLIANCE
Illinois Other 227840 HEALTH ALLIANCE

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