Sheppard, Jerry M
Sheppard, Jerry M is an individual health care provider with primary practice located at 2500 N State St Dept Of Medicine Division Of General Internal Medicine, Jackson MS 39225-4146. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sheppard, Jerry M can be contacted via phone (601) 984-2746.Contact Information
Primary practice address
2500 N State St Dept Of Medicine Division Of General Internal Medicine
Jackson MS 39225-4146
Phone: (601) 984-2746
Fax: (601) 984-6870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18932 | Mississippi |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 18932 | Mississippi |
Profile Details
| NPI number | 1649280983 |
|---|---|
| LBN Legal business name | Sheppard, Jerry M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Apr 10th, 2014 - about 11 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 | 1649280983 | NPPES |
| Mississippi | MEDICAID | 154127 | |
| Mississippi | MEDICAID | 06356838 |
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