Shepherd, Joseph
Shepherd, Joseph is an sole proprietor health care provider with primary practice located at 11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Shepherd, Joseph can be contacted via phone (405) 269-3154.Contact Information
Primary practice address
11050 Mount Belvedere Blvd
Fort Drum NY 13602-5438
Phone: (405) 269-3154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 2380 | Oklahoma |
Profile Details
| NPI number | 1184182081 |
|---|---|
| LBN Legal business name | Shepherd, Joseph |
| Credentials | MS, RD/LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2019 |
| Last updated | Nov 11th, 2022 - about 4 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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