Shepard, Deborah Apollo
Shepard, Deborah Apollo is an individual health care provider with primary practice located at 7410 Beechmont Ave , Cincinnati OH 45255-4102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shepard, Deborah Apollo can be contacted via phone (513) 231-4591.Contact Information
Primary practice address
7410 Beechmont Ave
Cincinnati OH 45255-4102
Phone: (513) 231-4591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 06263 | Ohio |
Profile Details
| NPI number | 1043205628 |
|---|---|
| LBN Legal business name | Shepard, Deborah Apollo |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Apr 25th, 2013 - about 13 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 | 1043205628 | NPPES |
| West Virginia | Other | 1043205628 | MTN ST BCBS |
| West Virginia | MEDICAID | 3810014055 | MTN ST BCBS |
| West Virginia | Other | 613154600 | MTN ST BCBS |
| West Virginia | MEDICAID | 2275461 | MTN ST BCBS |
| West Virginia | MEDICAID | 000000270627 | MTN ST BCBS |
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