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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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