Sheppard, Lisa Marie
Sheppard, Lisa Marie is an individual health care provider with primary practice located at 680 Broadway Ste 111 , Paterson NJ 07514-1526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Sheppard, Lisa Marie can be contacted via phone (973) 977-6662.Contact Information
Primary practice address
680 Broadway Ste 111
Paterson NJ 07514-1526
Phone: (973) 977-6662
Fax: (973) 341-1128
Website:
Health care specialties
Profile Details
| NPI number | 1083673479 |
|---|---|
| LBN Legal business name | Sheppard, Lisa Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1083673479 | NPPES |
| New York | MEDICAID | 02636560 | |
| New York | MEDICAID | 001969572 | |
| New York | MEDICAID | 7314701 | |
| New York | MEDICAID | 2863049 | |
| New York | MEDICAID | 0157457 00 | |
| New York | MEDICAID | 015745700 | |
| New York | MEDICAID | 200262470 A | |
| New York | MEDICAID | 200933310 | |
| New York | MEDICAID | 1451789 | |
| New York | MEDICAID | 7100070710 | |
| New York | MEDICAID | 7725960 |
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