Shepherd, Mary Susan
Shepherd, Mary Susan is an sole proprietor health care provider with primary practice located at 5255 Pine Crest Rd , Rhinelander WI 54501-9231. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Shepherd, Mary Susan can be contacted via phone (715) 362-5081.Contact Information
Primary practice address
5255 Pine Crest Rd
Rhinelander WI 54501-9231
Phone: (715) 362-5081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 164121030 | Wisconsin |
Profile Details
| NPI number | 1992957195 |
|---|---|
| LBN Legal business name | Shepherd, Mary Susan |
| Credentials | RN-RCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2008 |
| Last updated | Oct 21st, 2008 - about 18 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 | 1992957195 | NPPES |
| Wisconsin | MEDICAID | 35071600 |
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