Shepard, Michelle Madeline
Shepard, Michelle Madeline is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Shepard, Michelle Madeline can be contacted via phone (843) 577-5011.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 1016791 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 23565 | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 23565 | South Carolina |
Profile Details
| NPI number | 1861491391 |
|---|---|
| LBN Legal business name | Shepard, Michelle Madeline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Apr 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861491391 | NPPES |
| South Carolina | MEDICAID | T78699 |
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