Sheppard, David Allen

Sheppard, David Allen is an individual health care provider with primary practice located at 25 Highland Park Vlg Suite 100765, Dallas TX 75205-2789. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Sheppard, David Allen can be contacted via phone (214) 707-0695.

Contact Information

Primary practice address
25 Highland Park Vlg Suite 100765 Dallas TX 75205-2789
Phone: (214) 707-0695
Fax: (214) 572-7392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP 9178159 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024127218 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP118498 Texas

Profile Details

NPI number 1124008560
LBN Legal business name Sheppard, David Allen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Apr 19th, 2017 - about 7 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 1124008560 NPPES
Florida Other G3089 FL BLUECROSS & BLUESHIELD
Florida MEDICAID 00920422A FL BLUECROSS & BLUESHIELD
Florida MEDICAID 304001600 FL BLUECROSS & BLUESHIELD

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