Sheppard, Mary T

Sheppard, Mary T is an individual health care provider with primary practice located at 1001 Main St Fl 4 , Buffalo NY 14203-1009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Sheppard, Mary T can be contacted via phone (716) 323-0110.

Contact Information

Primary practice address
1001 Main St Fl 4 Buffalo NY 14203-1009
Phone: (716) 323-0110
Fax: (716) 323-0296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380546 New York

Profile Details

NPI number 1417913096
LBN Legal business name Sheppard, Mary T
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated May 16th, 2023 - about 3 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 1417913096 NPPES
New York MEDICAID 02344723
New York Other 071112000039
New York Other 080407000110

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