Sheppard, Tony
Sheppard, Tony is an individual health care provider with primary practice located at 335 Spring St , Jeffersonville IN 47130-4480. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sheppard, Tony can be contacted via phone (812) 258-0310.Contact Information
Primary practice address
335 Spring St
Jeffersonville IN 47130-4480
Phone: (812) 258-0310
Fax: (812) 258-0409
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041852A | Indiana |
Profile Details
NPI number | 1629046263 |
---|---|
LBN Legal business name | Sheppard, Tony |
Credentials | PHD HSPP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1629046263 | NPPES |
Indiana | Other | 000000320601 | ANTHEM PIN |
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