Sheppard Fries, Mary
Sheppard Fries, Mary is an individual health care provider with primary practice located at 451 Sterling Hwy , Homer AK 99603-7440. She recently has 7 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Home Modifications, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Nursing Service Providers / Home Health is her primary health care specialty. Sheppard Fries, Mary can be contacted via phone (907) 235-0369.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | HH2711 | Alaska |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | CMG799 | Alaska |
| Other Service Providers / Home Modifications | 171WH0202X | HC2563 | Alaska |
| Nursing Service Related Providers / Chore Provider | 372500000X | HC2563 | Alaska |
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | PCG519A | Alaska |
| Nursing Service Related Providers / Home Health Aide | 374U00000X | HH2711 | Alaska |
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | HH2711 | Alaska |
Profile Details
| NPI number | 1710017140 |
|---|---|
| LBN Legal business name | Sheppard Fries, Mary |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 9th, 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 | 1710017140 | NPPES |
| Alaska | MEDICAID | HH2711 | |
| Alaska | MEDICAID | CMG799 | |
| Alaska | MEDICAID | MSO272 | |
| Alaska | MEDICAID | NA3799 | |
| Alaska | MEDICAID | HC2563 | |
| Alaska | MEDICAID | PCG519A |
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