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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164535910 | NPPES |
| Illinois | Other | 058746 | HEALTH ALLIANCE |
| Illinois | Other | 227840 | HEALTH ALLIANCE |
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