Shepard, Jonathan Lane

Shepard, Jonathan Lane is an individual health care provider with primary practice located at 1413 N Mildred Rd , Cortez CO 81321-2258. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shepard, Jonathan Lane can be contacted via phone (970) 564-1037.

Contact Information

Primary practice address
1413 N Mildred Rd Cortez CO 81321-2258
Phone: (970) 564-1037
Fax: (970) 564-1041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0004608 Colorado

Profile Details

NPI number 1205174174
LBN Legal business name Shepard, Jonathan Lane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2013
Last updated Nov 5th, 2024 - about 2 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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