Sheppard, Laine
Sheppard, Laine is an sole proprietor health care provider with primary practice located at 250 Brent Ln , Pensacola FL 32503-2267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Sheppard, Laine can be contacted via phone (850) 969-1936.Contact Information
Primary practice address
250 Brent Ln
Pensacola FL 32503-2267
Phone: (850) 969-1936
Fax: (850) 969-1616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 54144 | Florida |
Profile Details
| NPI number | 1982730016 |
|---|---|
| LBN Legal business name | Sheppard, Laine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2007 |
| Last updated | Nov 4th, 2014 - about 10 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 | 1982730016 | NPPES |
| Florida | MEDICAID | 062848400 |
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