Shepherd, Mark D
Shepherd, Mark D is an individual health care provider with primary practice located at 670 Crossover Rd , Tupelo MS 38801-4944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Shepherd, Mark D can be contacted via phone (662) 844-8414.Contact Information
Primary practice address
670 Crossover Rd
Tupelo MS 38801-4944
Phone: (662) 844-8414
Fax: (662) 844-7275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 14824 | Mississippi |
Profile Details
| NPI number | 1760499867 |
|---|---|
| LBN Legal business name | Shepherd, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Mar 4th, 2010 - about 16 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 | 1760499867 | NPPES |
| Mississippi | Other | CHO754 | RAILROAD MEDICARE GROUP |
| Mississippi | Other | 460001322 | RAILROAD MEDICARE GROUP |
| Mississippi | MEDICAID | 00116650 | RAILROAD MEDICARE GROUP |
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