Sheppard, Madison Nicole
Sheppard, Madison Nicole is an sole proprietor health care provider with primary practice located at 739 Graham Rd , Cuyahoga Falls OH 44221-1056. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sheppard, Madison Nicole can be contacted via phone (330) 929-7002.Contact Information
Primary practice address
739 Graham Rd
Cuyahoga Falls OH 44221-1056
Phone: (330) 929-7002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.006682RX | Ohio |
Profile Details
| NPI number | 1588270524 |
|---|---|
| LBN Legal business name | Sheppard, Madison Nicole |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2020 |
| Last updated | Jun 12th, 2024 - about last year |
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 | 1588270524 | NPPES |
| Ohio | Other | 50.006682RX | STATE MEDICAL BOARD OF OHIO |
| Ohio | Other | 1175257 | STATE MEDICAL BOARD OF OHIO |
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