Shepard, Michelle Tamara

Shepard, Michelle Tamara is an individual health care provider with primary practice located at 1 S Prospect St , Burlington VT 05401-3456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shepard, Michelle Tamara can be contacted via phone (802) 847-4696.

Contact Information

Primary practice address
1 S Prospect St Burlington VT 05401-3456
Phone: (802) 847-4696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042-0012954 Vermont

Profile Details

NPI number 1194016956
LBN Legal business name Shepard, Michelle Tamara
Credentials M.D., PHD.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Oct 18th, 2017 - about 9 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 1194016956 NPPES
New Hampshire MEDICAID 3098587
New Hampshire MEDICAID 1023652

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