Sheppard, Frederick Knight

Sheppard, Frederick Knight is an sole proprietor health care provider with primary practice located at 2649 Bay Settlement Rd , Green Bay WI 54311-7328. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Independent Medical Examiner, Chiropractic Providers / Sports Physician, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Sheppard, Frederick Knight can be contacted via phone (906) 370-8335.

Contact Information

Primary practice address
2649 Bay Settlement Rd Green Bay WI 54311-7328
Phone: (906) 370-8335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Independent Medical Examiner 111NI0013X 1883 Wisconsin
Chiropractic Providers / Independent Medical Examiner 111NI0013X 2301005616 Michigan
Chiropractic Providers / Sports Physician 111NS0005X 1883 Wisconsin
Chiropractic Providers / Sports Physician 111NS0005X 2301005616 Michigan
Chiropractic Providers / Orthopedic 111NX0800X 2301005616 Michigan
Chiropractic Providers / Orthopedic 111NX0800X 1883 Wisconsin

Profile Details

NPI number 1760727937
LBN Legal business name Sheppard, Frederick Knight
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2012
Last updated Nov 29th, 2012 - about 12 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 1760727937 NPPES
Wisconsin MEDICAID E30003847

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