Sheppard, Geron F.

Sheppard, Geron F. is an sole proprietor health care provider with primary practice located at 11234 Anderson St A108, Loma Linda CA 92354-2804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sheppard, Geron F. can be contacted via phone (909) 558-7171.

Contact Information

Primary practice address
11234 Anderson St A108 Loma Linda CA 92354-2804
Phone: (909) 558-7171
Fax: (909) 558-0121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G064395 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2011001502 Missouri

Profile Details

NPI number 1063452159
LBN Legal business name Sheppard, Geron F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Oct 2nd, 2015 - about 9 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 1063452159 NPPES
Missouri MEDICAID PENDING

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