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
Fax: (812) 258-0409
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629046263 NPPES
Indiana Other 000000320601 ANTHEM PIN

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